35351 Rechanneling of artery
Also known as: renal artery endarterectomy, renal artery rechanneling
Rechanneling (thrombectomy with endarterectomy) of renal artery with restoration of renal blood flow.
In Plain Language
Cleaning out kidney artery; Removing blockage from renal artery
Clinical Context
Surgical management of renovascular stenosis causing hypertension or progressive renal insufficiency. Direct endarterectomy appropriate for ostial or localized lesions with early atherosclerosis.
RVU Breakdown
| Work RVU | 23.99 |
| Total RVU | 23.99 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 23.99, this code ranks in the 88th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35351?
CPT 35351 (Rechanneling of artery) is a Surgery code. Rechanneling (thrombectomy with endarterectomy) of renal artery with restoration of renal blood flow.
What is the wRVU value for CPT 35351?
The work RVU for CPT 35351 is 23.99. This code is primarily used by Vascular Surgery, General Surgery, Nephrology. It has a 90-day global period.
When is CPT 35351 used?
Surgical management of renovascular stenosis causing hypertension or progressive renal insufficiency. Direct endarterectomy appropriate for ostial or localized lesions with early atherosclerosis.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.