CPT code 35870: Vascular graft repair, graft defect repair2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,225.56 for 35870 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35870 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 35870 covers

Code 35870 describes operative repair of a defect in an existing blood vessel graft. A vascular surgeon typically performs the work in an operating room, often during a return procedure when inspection identifies damage such as a leak or disruption in the graft. The documented service should show repair of the graft itself, not simply exploration or treatment of a different graft problem such as clot removal.

Report the code when the operative note identifies the graft defect and the repair performed. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 35870

Across 109 of 109 payment localities, the facility rate for 35870 runs from $988.80 in Wisconsin to $1,453.15 in Miami, FL. Washington, DC area pays $1,225.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35870 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 35870 in every payment locality

How the 35870 rate is calculated

Each of 35870’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 35870

35870 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 35870

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 35870 has changed in Washington, DC area

Price 35870 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates