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Billing code 35907: Graft excisionMedicare rate & RVUs

Reports surgical removal of an infected vascular graft in the abdomen, with code selection based on the graft’s anatomic location.

CMS RVU26DEffective Oct 1, 2026109 payment localities161 Medicare services in 2024

Medicare pays $1,723.15 for 35907 nationally in a facility.

Medicare rate · 35907

Graft excision

Swap in your local Medicare rate.

Work RVUs
36.34
Total RVUs
51.59
Global days
090

National rate · 2026

$1,723.15

Facility setting, before claim adjustments.

See every locality for 35907 → · 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 35907 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 35907 covers

Code 35907 represents operative removal of an infected vascular graft located in the abdomen. A vascular surgeon typically performs the procedure when infection involving an implanted graft requires surgical excision. Select this code based on the graft’s abdominal location, rather than the access method or the specialty of the operating physician. The operative report should identify the infected graft, its location, and the excision performed.

This major surgery 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 50% 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 35907 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

35907 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,564.12
Alaska*Unavailable$2,204.52
ArizonaUnavailable$1,672.49
ArkansasUnavailable$1,545.17
AtlantaUnavailable$1,792.04
AustinUnavailable$1,702.04
BakersfieldUnavailable$1,644.81
Baltimore/Surr. CntysUnavailable$1,830.37
BeaumontUnavailable$1,683.17
BrazoriaUnavailable$1,663.16

35907 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
35907 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 35907 rate is calculated

Each of 35907’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 · 35907

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 36.34Practice expense 6.01Malpractice 9.24

51.5900 adjusted RVUs×$33.4009 conversion factor=$1,723.15

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

Payment rules and modifiers for 35907

35907 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35907

Graft excision

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 · 35907

Graft excision

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

35907 without 51 · national facility

$1,723.15

Graft excision

35907-51 · Second procedure: 50%

$861.58

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

35907 compared with similar codes

Compare codes

35907 vs 35901 vs 35903 vs 35905: national Medicare rates

Swap in your local Medicare rate.

  • 35907
    Graft excision · 36.34 wRVU
    —
  • 35901
    Graft excision · 8.17 wRVU
    —
  • 35903
    Graft excision · 9.29 wRVU
    —
  • 35905
    Graft excision · 32.68 wRVU
    —

How to choose

35901Graft excision
Use 35901 for an infected graft in the neck. Code 35907 is for an abdominal graft.
35903Graft excision
Use 35903 when the infected graft is in an extremity; 35907 identifies an abdominal location.
35905Graft excision
Use 35905 for an infected graft in the thorax. The abdominal location distinguishes 35907.

Codes related to 35907

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

Codes related to 35907
CodeHow it relatesNational office range
Same family
35901Graft excisionSame graft-excision family; applies to an infected graft in the neck.No office rate
35903Graft excisionSame graft-excision family; applies to an infected graft in an extremity.No office rate
35905Graft excisionSame graft-excision family; applies to an infected graft in the thorax.No office rate

35907 billing questions

How does 35907 differ from 35905?

Choose 35907 for an infected graft in the abdomen and 35905 when the graft is in the thorax. The operative documentation should support the relevant anatomic location.

Can modifier 50 be added for bilateral graft removal?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

What documentation supports reporting 35907?

The operative report should establish that an infected vascular graft was surgically excised and identify its abdominal location.

How does the multiple-procedure reduction affect 35907?

For procedures performed in the same session, the highest-valued procedure is paid in full; other procedures are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes related postoperative care and the day-before preoperative visit.

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 35907PPRRVU2026_Oct_nonQPP.csv, line 4,429 (RVU26D)

Open CMS sourceHow we calculate rates

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