35390 Reoperation carotid add-on
Also known as: carotid bypass graft reoperation, carotid graft declotting
Reoperation of carotid artery bypass graft as adjunct to carotid procedures with declotting and revision.
In Plain Language
Reopening carotid bypass graft; Fixing closed neck bypass
Clinical Context
Add-on procedure for carotid artery bypass graft complications. Indicates urgent thrombectomy and revision to restore cerebral perfusion and prevent stroke.
RVU Breakdown
| Work RVU | 3.11 |
| Total RVU | 3.11 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.11, this code ranks in the 22nd percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35390?
CPT 35390 (Reoperation carotid add-on) is a Surgery code. Reoperation of carotid artery bypass graft as adjunct to carotid procedures with declotting and revision.
What is the wRVU value for CPT 35390?
The work RVU for CPT 35390 is 3.11. This code is primarily used by Vascular Surgery, Neurosurgery, General Surgery.
When is CPT 35390 used?
Add-on procedure for carotid artery bypass graft complications. Indicates urgent thrombectomy and revision to restore cerebral perfusion and prevent stroke.
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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.