CPT code 35905: Graft excision, thoracic site2026 Medicare rate & RVUs in North Carolina

Reports operative removal of an infected vascular graft in the thorax, such as an infected graft from prior thoracic aortic reconstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality39 Medicare services in 2024

In North Carolina, Medicare pays $1,415.29 for 35905 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,415.29Hospital or facility

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.

We’ll open 35905 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 35905 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 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 North Carolina 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. North Carolina pays $1,415.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

35905 in North Carolina vs other payment areas
  1. North Carolina · this page$1,415.29
  2. Los Angeles, CA · California$1,506.01+$90.72
  3. Washington, DC area · District of Columbia$1,644.64+$229.35
  4. Miami, FL · Florida$1,959.25+$543.96
  5. Chicago, IL · Illinois$1,896.01+$480.72
  6. Manhattan, NY · New York$1,784.98+$369.69
  7. Alaska · Alaska$1,957.11+$541.82

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

Every other payment area

35905 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
35905 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 35905 in every payment locality

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

Office or facility?

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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 35905 in North Carolina
ComponentRVULocality factorAdjusted
Physician work32.68× 1.00032.6800
Practice expense4.67× 0.9334.3571
Malpractice8.35× 0.6395.3357
Total RVUs42.3728
Conversion factor× 33.4009

Facility rate, North Carolina$1415.29

Facility: (32.68 × 1 + 4.67 × 0.933 + 8.35 × 0.639) × $33.4009 = $1415.29

Open 35905 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

How 35905 has changed in North Carolina

35905 · 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$1,415.29RVU26D
2026-07-01Not available in this setting$1,415.29RVU26C
2026-04-01Not available in this setting$1,415.29RVU26B
2026-01-01Not available in this setting$1,415.29RVU26A
2025-10-01Not available in this setting$1,486.96RVU25D
2025-07-01Not available in this setting$1,486.96RVU25C
2025-04-01Not available in this setting$1,486.96RVU25B
2025-01-01Not available in this setting$1,486.96RVU25A
2024-10-01Not available in this setting$1,526.27RVU24D
2024-07-01Not available in this setting$1,526.27RVU24C
2024-04-01Not available in this setting$1,526.27RVU24B
2024-03-09Not available in this setting$1,526.27RVU24AR
2024-01-01Not available in this setting$1,501.36RVU24A
2023-10-01Not available in this setting$1,570.58RVU23D
2023-07-01Not available in this setting$1,570.58RVU23C
2023-04-01Not available in this setting$1,570.58RVU23B
2023-01-01Not available in this setting$1,570.58RVU23A
2022-10-01Not available in this setting$1,632.83RVU22D
2022-07-01Not available in this setting$1,632.83RVU22C
2022-04-01Not available in this setting$1,632.83RVU22B
2022-01-01Not available in this setting$1,632.83RVU22A
2021-10-01Not available in this setting$1,728.88RVU21D
2021-07-01Not available in this setting$1,728.88RVU21C
2021-04-01Not available in this setting$1,728.88RVU21B
2021-01-01Not available in this setting$1,728.88RVU21A
2020-10-01Not available in this setting$1,763.03RVU20D
2020-07-01Not available in this setting$1,763.03RVU20C
2020-04-01Not available in this setting$1,763.03RVU20B
2020-01-01Not available in this setting$1,763.03RVU20A
2019-10-01Not available in this setting$1,645.65RVU19D
2019-07-01Not available in this setting$1,645.65RVU19C
2019-04-01Not available in this setting$1,639.64RVU19B
2019-01-01Not available in this setting$1,639.64RVU19A
2018-10-01Not available in this setting$1,652.66RVU18D
2018-07-01Not available in this setting$1,652.66RVU18C
2018-04-01Not available in this setting$1,652.66RVU18B
2018-01-01Not available in this setting$1,652.66RVU18AR1
2017-10-01Not available in this setting$1,761.95RVU17D
2017-07-01Not available in this setting$1,761.95RVU17C
2017-04-01Not available in this setting$1,761.95RVU17B
2017-01-01Not available in this setting$1,761.95RVU17A
2016-10-01Not available in this setting$1,700.37RVU16D
2016-07-01Not available in this setting$1,700.37RVU16C
2016-04-01Not available in this setting$1,700.37RVU16B
2016-01-01Not available in this setting$1,700.37RVU16A
2015-10-01Not available in this setting$1,778.63RVU15D
2015-07-01Not available in this setting$1,778.63RVU15C
2015-04-01Not available in this setting$1,769.78RVU15B
2015-01-01Not available in this setting$1,769.78RVU15A
2014-10-01Not available in this setting$1,698.52RVU14D
2014-07-01Not available in this setting$1,698.52RVU14C
2014-04-01Not available in this setting$1,698.52RVU14B
2014-01-01Not available in this setting$1,698.52RVU14A
2013-10-01Not available in this setting$1,649.43RVU13D
2013-07-01Not available in this setting$1,649.43RVU13C
2013-04-01Not available in this setting$1,649.43RVU13B
2013-01-01Not available in this setting$1,649.43RVU13AR

Price 35905 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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
RVUs for 35905PPRRVU2026_Oct_nonQPP.csv, line 4,428 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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