CPT code 35875: Graft thrombectomy, without graft revision2026 Medicare rate & RVUs in Florida
Report this service when a surgeon surgically removes clot from a vascular graft, such as an occluded arterial bypass, without revising the graft.
CMS doesn’t publish an office rate for 35875 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 35875 covers
This code describes open surgical removal of clot from a vascular graft without revision of the graft itself. A typical case is an occluded arterial bypass graft requiring operative exposure and clot extraction to restore flow. Vascular surgeons generally perform the procedure in a hospital operating room or another surgical facility. This code is for grafts other than hemodialysis access; dialysis access thrombectomy has its own code family.
Select the code when the operative report supports clot removal from the graft and does not describe graft revision. Documentation should identify the graft and describe the thrombectomy performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; 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.
Where 35875 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $610.99 |
| Miami, FL | Unavailable | $677.40 |
| Rest of Florida | Unavailable | $578.32 |
How the 35875 rate is calculated
Each of 35875’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.
How the rate is built · 35875
RVUs × geographic indexes × conversion factor
Work10.45
10.45 RVUs× 1.000 GPCI
Practice expense3.03
3.03 RVUs× 1.000 GPCI
Malpractice2.64
2.64 RVUs× 1.000 GPCI
Adjusted RVUs
16.1200
Conversion factor
$33.4009
Medicare rate
$538.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35875
35875 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35875
Graft thrombectomy, without graft revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35875
Graft thrombectomy, without graft revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
35875 without 51 · national facility
$538.42
Graft thrombectomy, without graft revision
35875-51 · Second procedure: 50%
$269.21
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
35875 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 35876Graft thrombectomyWith graft revision
- Choose 35875 when clot is removed without graft revision. Choose 35876 when the surgeon revises the graft as part of the thrombectomy.
- 36831Fistula thrombectomyOpen, without revision
- This code covers thrombectomy of a vascular graft other than dialysis access. 36831 is for open thrombectomy of hemodialysis access without revision.
- 36832Fistula revisionOpen, without thrombectomy
- Use 36832 for open thrombectomy of hemodialysis access when revision is also performed; 35875 concerns a non-dialysis vascular graft without revision.
- 35870Vascular graft repairGraft defect repair
- 35870 addresses repair of a defect in a blood vessel graft. 35875 is for surgically removing clot from the graft.
35875 billing questions
How does 35875 differ from 35876?
Use 35875 for clot removal from a vascular graft without graft revision. When the surgeon also revises the graft, consider 35876.
Can 35875 be used for a hemodialysis access thrombectomy?
No. This code is for vascular grafts other than dialysis access. Open thrombectomy of a dialysis access without revision is represented by 36831; with revision, consider 36832.
What documentation supports 35875?
The operative report should identify the graft and describe surgical clot removal. It should support that the graft was not revised.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative reporting?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
Show the CMS file lines behind this rate
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