CPT code 35905: Graft excision, thoracic site2026 Medicare rate & RVUs in Mississippi
Reports operative removal of an infected vascular graft in the thorax, such as an infected graft from prior thoracic aortic reconstruction.
In Mississippi, Medicare pays $1,431.95 for 35905 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35905 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 35905 covers
This service involves surgically removing infected vascular graft material located in the thorax. A vascular surgeon commonly performs it in a hospital operating room for infection involving a prior thoracic vascular reconstruction, including an aortic graft. The operative report should identify the graft’s thoracic location, the evidence of infection, and the graft material removed.
Select this code by the location of the infected graft, not by the original operation or the access incision. Documentation should support both the infection and the excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of 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% reduction. Do not use modifier 50 for this service. 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.
How Mississippi compares for 35905
Across 109 of 109 payment localities, the facility rate for 35905 runs from $1,326.87 in Wisconsin to $1,959.25 in Miami, FL. Mississippi pays $1,431.95. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,431.95
- Los Angeles, CA · California$1,506.01+$74.06
- Washington, DC area · District of Columbia$1,644.64+$212.69
- Miami, FL · Florida$1,959.25+$527.30
- Chicago, IL · Illinois$1,896.01+$464.06
- Manhattan, NY · New York$1,784.98+$353.03
- Alaska · Alaska$1,957.11+$525.16
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,385.88 |
| ArkansasArkansas | — | $1,369.16 |
| ArizonaArizona | — | $1,481.42 |
| Bakersfield, CACalifornia | — | $1,453.09 |
| Chico, CACalifornia | — | $1,430.54 |
| El Centro, CACalifornia | — | $1,431.94 |
| Fresno, CACalifornia | — | $1,430.54 |
| Hanford, CACalifornia | — | $1,430.54 |
| Madera, CACalifornia | — | $1,430.54 |
| Merced, CACalifornia | — | $1,430.54 |
| Modesto, CACalifornia | — | $1,430.54 |
| Napa, CACalifornia | — | $1,507.57 |
| Oxnard, CACalifornia | — | $1,480.23 |
| Redding, CACalifornia | — | $1,430.54 |
| Rest of CaliforniaCalifornia | — | $1,430.54 |
| Riverside, CACalifornia | — | $1,520.05 |
| Sacramento, CACalifornia | — | $1,461.73 |
| Salinas, CACalifornia | — | $1,455.65 |
| San Diego, CACalifornia | — | $1,462.00 |
| Marin County, CACalifornia | — | $1,543.19 |
| San Francisco, CACalifornia | — | $1,533.70 |
| San Benito County, CACalifornia | — | $1,586.03 |
| Santa Clara County, CACalifornia | — | $1,547.26 |
| San Luis Obispo, CACalifornia | — | $1,437.25 |
| Santa Cruz, CACalifornia | — | $1,453.47 |
| Santa Maria, CACalifornia | — | $1,453.47 |
| Santa Rosa, CACalifornia | — | $1,465.32 |
| Stockton, CACalifornia | — | $1,430.54 |
| Vallejo, CACalifornia | — | $1,493.91 |
| Visalia, CACalifornia | — | $1,430.54 |
| Yuba City, CACalifornia | — | $1,430.54 |
| ColoradoColorado | — | $1,488.42 |
| ConnecticutConnecticut | — | $1,618.83 |
| DelawareDelaware | — | $1,501.84 |
| Fort Lauderdale, FLFlorida | — | $1,753.80 |
| Rest of FloridaFlorida | — | $1,659.84 |
| Atlanta, GAGeorgia | — | $1,588.25 |
| Rest of GeorgiaGeorgia | — | $1,563.12 |
| Hawaii, Guam, HIHawaii | — | $1,430.37 |
| IowaIowa | — | $1,344.99 |
| IdahoIdaho | — | $1,366.96 |
| East St. Louis, ILIllinois | — | $1,796.74 |
| Rest of IllinoisIllinois | — | $1,669.87 |
| Suburban Chicago, ILIllinois | — | $1,753.58 |
| IndianaIndiana | — | $1,371.68 |
| KansasKansas | — | $1,373.11 |
| KentuckyKentucky | — | $1,485.40 |
| New Orleans, LALouisiana | — | $1,555.15 |
| Rest of LouisianaLouisiana | — | $1,496.77 |
| Metropolitan Boston, MAMassachusetts | — | $1,570.76 |
| Rest of MassachusettsMassachusetts | — | $1,495.54 |
| Baltimore area, MDMaryland | — | $1,621.37 |
| Rest of MarylandMaryland | — | $1,516.34 |
| Rest of MaineMaine | — | $1,408.52 |
| Southern Maine, MEMaine | — | $1,422.10 |
| Detroit, MIMichigan | — | $1,712.29 |
| Rest of MichiganMichigan | — | $1,548.83 |
| MinnesotaMinnesota | — | $1,334.60 |
| Metropolitan Kansas City, MOMissouri | — | $1,510.49 |
| Metropolitan St. Louis, MOMissouri | — | $1,519.49 |
| Rest of MissouriMissouri | — | $1,497.64 |
| MontanaMontana | — | $1,525.86 |
| North CarolinaNorth Carolina | — | $1,415.29 |
| North DakotaNorth Dakota | — | $1,360.76 |
| NebraskaNebraska | — | $1,340.94 |
| New HampshireNew Hampshire | — | $1,497.95 |
| Northern New JerseyNew Jersey | — | $1,639.11 |
| Rest of New JerseyNew Jersey | — | $1,611.49 |
| New MexicoNew Mexico | — | $1,569.53 |
| NevadaNevada | — | $1,480.00 |
| NYC suburbs and Long Island, NYNew York | — | $1,864.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,648.93 |
| Queens, NYNew York | — | $1,747.94 |
| Rest of New YorkNew York | — | $1,435.79 |
| OhioOhio | — | $1,515.08 |
| OklahomaOklahoma | — | $1,447.54 |
| Portland, OROregon | — | $1,489.80 |
| Rest of OregonOregon | — | $1,442.96 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,606.29 |
| Rest of PennsylvaniaPennsylvania | — | $1,498.29 |
| Puerto RicoPuerto Rico | — | $1,523.95 |
| Rhode IslandRhode Island | — | $1,522.19 |
| South CarolinaSouth Carolina | — | $1,472.73 |
| South DakotaSouth Dakota | — | $1,341.23 |
| TennesseeTennessee | — | $1,383.10 |
| Austin, TXTexas | — | $1,505.86 |
| Beaumont, TXTexas | — | $1,492.58 |
| Brazoria, TXTexas | — | $1,472.39 |
| Dallas, TXTexas | — | $1,496.02 |
| Fort Worth, TXTexas | — | $1,498.08 |
| Galveston, TXTexas | — | $1,486.09 |
| Houston, TXTexas | — | $1,638.93 |
| Rest of TexasTexas | — | $1,491.41 |
| UtahUtah | — | $1,488.61 |
| VirginiaVirginia | — | $1,441.77 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,523.95 |
| VermontVermont | — | $1,387.09 |
| Rest of WashingtonWashington | — | $1,482.22 |
| King County, WAWashington | — | $1,565.37 |
| WisconsinWisconsin | — | $1,326.87 |
| West VirginiaWest Virginia | — | $1,626.19 |
| WyomingWyoming | — | $1,453.91 |
35905 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 35905 rate is calculated
Each of 35905’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 · 35905
RVUs × geographic indexes × conversion factor
Work32.68
32.68 RVUs× 1.000 GPCI
Practice expense4.67
4.67 RVUs× 1.000 GPCI
Malpractice8.35
8.35 RVUs× 1.000 GPCI
Adjusted RVUs
45.7000
Conversion factor
$33.4009
Medicare rate
$1,526.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,428
- Code
- 35905
- Physician work
- 32.68
- Practice expense
- 4.67
- Malpractice
- 8.35
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.68 | × 1.000 | 32.6800 |
| Practice expense | 4.67 | × 0.861 | 4.0209 |
| Malpractice | 8.35 | × 0.739 | 6.1706 |
| Total RVUs | 42.8715 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1431.95
Facility: (32.68 × 1 + 4.67 × 0.861 + 8.35 × 0.739) × $33.4009 = $1431.95
Payment rules and modifiers for 35905
35905 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35905
Graft excision, thoracic 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 · 35905
Graft excision, thoracic 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
35905 without 51 · national facility
$1,526.42
Graft excision, thoracic site
35905-51 · Second procedure: 50%
$763.21
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%).
How 35905 has changed in Mississippi
35905 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,431.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,431.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,431.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,431.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,496.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,496.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,496.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,496.45 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,536.87 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,536.87 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,536.87 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,536.87 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,511.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,544.65 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,544.65 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,544.65 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,544.65 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,568.06 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,568.06 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,568.06 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,568.06 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,656.95 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,656.95 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,656.95 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,656.95 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,669.39 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,669.39 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,669.39 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,669.39 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,538.82 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,538.82 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,535.62 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,535.62 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,546.27 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,546.27 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,546.27 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,546.27 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,671.58 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,671.58 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,671.58 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,671.58 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,637.24 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,637.24 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,637.24 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,637.24 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,709.28 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,709.28 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,700.78 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,700.78 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,665.71 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,665.71 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,665.71 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,665.71 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,646.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,646.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,646.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,646.20 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
35905 billing questions
How do I distinguish this code from 35903?
Choose by the location of the infected graft: 35905 is for a graft in the thorax, while 35903 is for one in an extremity.
What documentation supports reporting this service?
The operative report should describe the infection, identify the graft’s thoracic location, and document the graft material removed.
Should modifier 50 be appended for grafts on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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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