CPT code 35876: Graft thrombectomy, with graft revision2026 Medicare rate & RVUs in Ohio

Reports open clot removal from an arterial or venous graft together with revision of that graft, such as during treatment of a thrombosed bypass.

CMS RVU26DEffective Oct 1, 2026One payment locality649 Medicare services in 2024

In Ohio, Medicare pays $846.11 for 35876 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$846.11Hospital or facility

Check a contract rate as a % of Medicare · 35876 nationwide

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

We’ll open 35876 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 35876 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 35876 covers

A vascular surgeon uses open surgical access to remove clot from an arterial or venous graft and revises the graft during the same procedure. This code is for grafts other than dialysis access grafts or fistulas. A typical setting is an operating room where a thrombosed peripheral bypass graft is explored to restore flow and the graft is revised as part of the operation.

Report the code when the operative documentation supports both open thrombectomy and graft revision; clot removal without revision is distinguished by 35875. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. 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 Ohio compares for 35876

Across 109 of 109 payment localities, the facility rate for 35876 runs from $750.79 in Wisconsin to $1,090.10 in Alaska. Ohio pays $846.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

35876 in Ohio vs other payment areas
  1. Ohio · this page$846.11
  2. Los Angeles, CA · California$855.67+$9.56
  3. Washington, DC area · District of Columbia$927.50+$81.39
  4. Miami, FL · Florida$1,082.93+$236.82
  5. Chicago, IL · Illinois$1,048.41+$202.30
  6. Manhattan, NY · New York$999.60+$153.49
  7. Alaska · Alaska$1,090.10+$243.99

Other areas in Ohio first, then benchmark localities. Bars start at $0.

Every other payment area

35876 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$777.18
ArkansasArkansas—$767.70
ArizonaArizona—$831.49
Bakersfield, CACalifornia—$823.51
Chico, CACalifornia—$811.79
El Centro, CACalifornia—$812.51
Fresno, CACalifornia—$811.79
Hanford, CACalifornia—$811.79

35876 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
35876 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 35876 in every payment locality

How the 35876 rate is calculated

Each of 35876’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 · 35876

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.37

17.37 RVUs× 1.000 GPCI

Practice expense3.94

3.94 RVUs× 1.000 GPCI

Malpractice4.33

4.33 RVUs× 1.000 GPCI

Adjusted RVUs

25.6400

Conversion factor

$33.4009

Medicare rate

$856.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,421

Code
35876
Physician work
17.37
Practice expense
3.94
Malpractice
4.33

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 35876 in Ohio
ComponentRVULocality factorAdjusted
Physician work17.37× 1.00017.3700
Practice expense3.94× 0.9133.5972
Malpractice4.33× 1.0084.3646
Total RVUs25.3319
Conversion factor× 33.4009

Facility rate, Ohio$846.11

Facility: (17.37 × 1 + 3.94 × 0.913 + 4.33 × 1.008) × $33.4009 = $846.11

Open 35876 in the RVU calculator

Payment rules and modifiers for 35876

35876 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35876

Graft thrombectomy, with graft revision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35876

Graft thrombectomy, with 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

35876 without 51 · national facility

$856.40

Graft thrombectomy, with graft revision

35876-51 · Second procedure: 50%

$428.20

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%).

When to use modifier 51

How 35876 has changed in Ohio

35876 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$846.11RVU26D
2026-07-01Not available in this setting$846.11RVU26C
2026-04-01Not available in this setting$846.11RVU26B
2026-01-01Not available in this setting$846.11RVU26A
2025-10-01Not available in this setting$883.13RVU25D
2025-07-01Not available in this setting$883.13RVU25C
2025-04-01Not available in this setting$883.13RVU25B
2025-01-01Not available in this setting$883.13RVU25A
2024-10-01Not available in this setting$907.85RVU24D
2024-07-01Not available in this setting$907.85RVU24C
2024-04-01Not available in this setting$907.85RVU24B
2024-03-09Not available in this setting$907.85RVU24AR
2024-01-01Not available in this setting$893.03RVU24A
2023-10-01Not available in this setting$925.40RVU23D
2023-07-01Not available in this setting$925.40RVU23C
2023-04-01Not available in this setting$925.40RVU23B
2023-01-01Not available in this setting$925.40RVU23A
2022-10-01Not available in this setting$955.71RVU22D
2022-07-01Not available in this setting$955.71RVU22C
2022-04-01Not available in this setting$955.71RVU22B
2022-01-01Not available in this setting$955.71RVU22A
2021-10-01Not available in this setting$958.61RVU21D
2021-07-01Not available in this setting$958.61RVU21C
2021-04-01Not available in this setting$958.61RVU21B
2021-01-01Not available in this setting$958.61RVU21A
2020-10-01Not available in this setting$983.69RVU20D
2020-07-01Not available in this setting$983.69RVU20C
2020-04-01Not available in this setting$983.69RVU20B
2020-01-01Not available in this setting$983.69RVU20A
2019-10-01Not available in this setting$972.29RVU19D
2019-07-01Not available in this setting$972.29RVU19C
2019-04-01Not available in this setting$972.29RVU19B
2019-01-01Not available in this setting$972.29RVU19A
2018-10-01Not available in this setting$978.72RVU18D
2018-07-01Not available in this setting$978.72RVU18C
2018-04-01Not available in this setting$978.72RVU18B
2018-01-01Not available in this setting$978.72RVU18AR1
2017-10-01Not available in this setting$979.42RVU17D
2017-07-01Not available in this setting$979.42RVU17C
2017-04-01Not available in this setting$979.42RVU17B
2017-01-01Not available in this setting$979.42RVU17A
2016-10-01Not available in this setting$983.94RVU16D
2016-07-01Not available in this setting$983.94RVU16C
2016-04-01Not available in this setting$983.94RVU16B
2016-01-01Not available in this setting$983.94RVU16A
2015-10-01Not available in this setting$986.23RVU15D
2015-07-01Not available in this setting$986.23RVU15C
2015-04-01Not available in this setting$981.32RVU15B
2015-01-01Not available in this setting$981.32RVU15A
2014-10-01Not available in this setting$1,003.05RVU14D
2014-07-01Not available in this setting$1,003.05RVU14C
2014-04-01Not available in this setting$1,003.05RVU14B
2014-01-01Not available in this setting$1,003.05RVU14A
2013-10-01Not available in this setting$1,006.13RVU13D
2013-07-01Not available in this setting$1,006.13RVU13C
2013-04-01Not available in this setting$1,006.13RVU13B
2013-01-01Not available in this setting$1,006.13RVU13AR

Price 35876 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

35876 billing questions

How is 35876 distinguished from 35875?

35876 includes graft revision along with open clot removal. Use 35875 when the open thrombectomy is performed without graft revision.

Can this code be used for a thrombosed dialysis access?

No. This code is for arterial or venous grafts other than dialysis access grafts or fistulas; dialysis access procedures are represented by codes such as 36832 or 36833.

What should the operative report document?

Document the open removal of clot, the graft involved, and the revision performed. The record should make clear that both thrombectomy and revision occurred.

Can modifier 50 be used when grafts on both sides are treated?

Modifier 50 is inappropriate for this code. CMS identifies the bilateral adjustment as unsuitable for the descriptor or anatomy.

How are assistant and co-surgeon services handled?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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
RVUs for 35876PPRRVU2026_Oct_nonQPP.csv, line 4,421 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 35876 pays in Ohio?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 35876 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet