No office rate
Choose 35875 when clot is removed without graft revision. Choose 35876 when the surgeon revises the graft as part of the thrombectomy.
On this page
CMS RVU26D · Effective 2026-10-01
35875 Graft thrombectomy Medicare reimbursement rates in Alaska
Report this service when a surgeon surgically removes clot from a vascular graft, such as an occluded arterial bypass, without revising the graft. Compare 35875 office and facility rates across CMS payment localities in Alaska.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 35875 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$679.93
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 35875: Open thrombectomy of vascular graft
Report this service when a surgeon surgically removes clot from a vascular graft, such as an occluded arterial bypass, without revising the graft.
This code describes open surgical removal of clot from a vascular graft without revision of the graft itself. A typical case is an occluded arterial bypass graft requiring operative exposure and clot extraction to restore flow. Vascular surgeons generally perform the procedure in a hospital operating room or another surgical facility. This code is for grafts other than hemodialysis access; dialysis access thrombectomy has its own code family.
Select the code when the operative report supports clot removal from the graft and does not describe graft revision. Documentation should identify the graft and describe the thrombectomy performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35875
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.45 · 65%
- Practice expense (office) RVU3.03 · 19%
- Malpractice RVU2.64 · 16%
687
Medicare services in 2024 · #3280 by national volume
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.
35875 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
This code covers thrombectomy of a vascular graft other than dialysis access. 36831 is for open thrombectomy of hemodialysis access without revision.
No office rate
Use 36832 for open thrombectomy of hemodialysis access when revision is also performed; 35875 concerns a non-dialysis vascular graft without revision.
No office rate
35870 addresses repair of a defect in a blood vessel graft. 35875 is for surgically removing clot from the graft.
Compare 35875 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$679.93
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35875 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
4,420
- Code
- 35875
- Physician work
- 10.45
- Practice expense
- 3.03
- Malpractice
- 2.64
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.45 | × 1.500 | 15.6750 |
| Practice expense | 3.03 | × 1.065 | 3.2269 |
| Malpractice | 2.64 | × 0.551 | 1.4546 |
| Total RVUs | 20.3566 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$679.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.45 | 1.5 |
| Practice expense | 3.03 | 1.065 |
| Malpractice | 2.64 | 0.551 |
(10.45 × 1.5 + 3.03 × 1.065 + 2.64 × 0.551) × $33.4009 = $679.93
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
35875 billing questions
How does 35875 differ from 35876?
Use 35875 for clot removal from a vascular graft without graft revision. When the surgeon also revises the graft, consider 35876.
Can 35875 be used for a hemodialysis access thrombectomy?
No. This code is for vascular grafts other than dialysis access. Open thrombectomy of a dialysis access without revision is represented by 36831; with revision, consider 36832.
What documentation supports 35875?
The operative report should identify the graft and describe surgical clot removal. It should support that the graft was not revised.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative reporting?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons are paid only with 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,41735840,,Explore abdominal vessels,A,,20.23,8.38,NA,8.38,,5.02,33.63,33.63,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,41835860,,Explore limb vessels,A,,14.87,4.66,NA,4.66,,3.69,23.22,23.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,41935870,,Repair vessel graft defect,A,,23.89,4.00,NA,4.00,,6.11,34.00,34.00,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42035875,,Removal of clot in graft,A,,10.45,3.03,NA,3.03,,2.64,16.12,16.12,0,090,0.09,0.84,0.07,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42135876,,Removal of clot in graft,A,,17.37,3.94,NA,3.94,,4.33,25.64,25.64,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42235879,,Revise graft w/vein,A,,16.97,3.89,NA,3.89,,4.32,25.18,25.18,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42335881,,Revise graft w/vein,A,,18.87,4.35,NA,4.35,,4.76,27.98,27.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609