CPT code 35901: Graft excision, neck site2026 Medicare rate & RVUs in Missouri
Reports operative removal of infected vascular graft material in the neck, such as a graft involved in a neck-site vascular infection.
CMS doesn’t publish an office rate for 35901 in Missouri.
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 35901 covers
This operation removes infected vascular graft material located in the neck to address infection involving the graft. Vascular surgeons typically perform it in a hospital operating room, often when a patient has a diagnosed infection involving a vascular graft in the neck. The operative report should make clear that the graft being excised is at the neck site and describe the removal performed.
Select this code by the location of the infected graft, not simply the incision or the patient's symptoms. The record should identify the graft infection and document the neck-site operative work. Medicare assigns a 90-day global period, including 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 others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 35901 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $431.40 |
| Metropolitan St. Louis, MO | Unavailable | $434.39 |
| Rest of Missouri | Unavailable | $423.76 |
How the 35901 rate is calculated
Each of 35901’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 · 35901
RVUs × geographic indexes × conversion factor
Work8.17
8.17 RVUs× 1.000 GPCI
Practice expense2.89
2.89 RVUs× 1.000 GPCI
Malpractice2.08
2.08 RVUs× 1.000 GPCI
Adjusted RVUs
13.1400
Conversion factor
$33.4009
Medicare rate
$438.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35901
35901 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35901
Graft excision, neck site
| 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) | 2 | Paid. |
| 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 · 35901
Graft excision, neck site
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
35901 without 51 · national facility
$438.89
Graft excision, neck site
35901-51 · Second procedure: 50%
$219.45
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%).
35901 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35903Graft excisionExtremity site
- Use 35903 when the infected graft being excised is in an extremity; this code is for a neck-site graft.
- 35905Graft excisionThoracic site
- Use 35905 for an infected graft in the thorax rather than the neck.
- 35907Graft excisionAbdominal location
- Use 35907 for an infected graft in the abdomen rather than the neck.
35901 billing questions
How do I choose this code over another infected-graft excision code?
Use this code when the infected graft being excised is in the neck. Codes in the same family distinguish other graft locations, including an extremity, thorax, or abdomen.
What documentation supports reporting this code?
Document the vascular graft infection, the graft's neck location, and the operative work removing graft material. The location of the infected graft determines the family member.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be reported for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor or anatomy.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does Medicare handle this with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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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