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Billing code 35876: Graft thrombectomyMedicare rate & RVUs

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, 2026109 payment localities649 Medicare services in 2024

Medicare pays $856.40 for 35876 nationally in a facility.

Medicare rate · 35876

Graft thrombectomy

Swap in your local Medicare rate.

Work RVUs
17.37
Total RVUs
25.64
Global days
090

National rate · 2026

$856.40

Facility setting, before claim adjustments.

See every locality for 35876 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 35876 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. 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.

Where 35876 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35876 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$777.18
Alaska*Unavailable$1,090.10
ArizonaUnavailable$831.49
ArkansasUnavailable$767.70
AtlantaUnavailable$889.31
AustinUnavailable$848.70
BakersfieldUnavailable$823.51
Baltimore/Surr. CntysUnavailable$909.56
BeaumontUnavailable$834.29
BrazoriaUnavailable$828.04

35876 rates by state

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

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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

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

Swap in your local Medicare rate.

Work 17.37Practice expense 3.94Malpractice 4.33

25.6400 adjusted RVUs×$33.4009 conversion factor=$856.40

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

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

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

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

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

35876 compared with similar codes

Compare codes

35876 vs 35875 vs 36832 vs 35870: national Medicare rates

Swap in your local Medicare rate.

  • 35876
    Graft thrombectomy · 17.37 wRVU
    —
  • 35875
    Graft thrombectomy · 10.45 wRVU
    —
  • 36832
    Fistula revision · 13.16 wRVU
    —
  • 35870
    Vascular graft repair · 23.89 wRVU
    —

How to choose

35875Graft thrombectomy
Choose 35875 for open graft thrombectomy without revision; 35876 describes thrombectomy accompanied by graft revision.
36832Fistula revision
Use 36832 for thrombectomy with revision of dialysis access. 35876 is for a graft other than a dialysis access graft or fistula.
35870Vascular graft repair
35870 describes repair of a vessel-graft defect. 35876 requires open clot removal together with graft revision.

Codes related to 35876

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 35876
CodeHow it relatesNational office range
Same family
35875Graft thrombectomyOpen graft thrombectomy without the revision included in 35876.No office rate
Used instead
36832Fistula revisionFor thrombectomy with revision of dialysis access rather than another arterial or venous graft.No office rate
36833Fistula revisionFor revision with thrombectomy of an arteriovenous dialysis access.No office rate

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)

Open CMS sourceHow we calculate rates

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