No office rate
Use 35901 when the infected graft being excised is in the neck; 35903 is for an extremity graft.
On this page
CMS RVU26D · Effective 2026-10-01
35903 Graft excision Medicare reimbursement rates in Arkansas
Removal of an infected vascular graft in an arm or leg, reported when surgery excises the graft to address the infection. Compare 35903 office and facility rates across CMS payment localities in Arkansas.
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 35903 in Arkansas?
Arkansas 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
$461.52
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 35903: Extremity vascular graft excision
Removal of an infected vascular graft in an arm or leg, reported when surgery excises the graft to address the infection.
Code 35903 describes surgical excision of an infected vascular graft located in an extremity. A vascular surgeon commonly performs the operation in a hospital operating room, such as when an infected peripheral arterial bypass graft must be removed. The code is selected by the graft’s anatomic location; it is not the code for an infected graft in the neck, chest, or abdomen.
Report the code when the operative documentation supports excision of the extremity graft, including its site and the infection prompting surgery. The 90-day 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 site-specific service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35903
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.29 · 60%
- Practice expense (office) RVU3.85 · 25%
- Malpractice RVU2.37 · 15%
3.4K
Medicare services in 2024 · #2097 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.
35903 compared with similar codes
Office rates for Arkansas, from the same CMS release.
Compare 35903 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$461.52
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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 35903 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,427
- Code
- 35903
- Physician work
- 9.29
- Practice expense
- 3.85
- Malpractice
- 2.37
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.29 | × 1.000 | 9.2900 |
| Practice expense | 3.85 | × 0.859 | 3.3072 |
| Malpractice | 2.37 | × 0.515 | 1.2206 |
| Total RVUs | 13.8177 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$461.52
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.29 | 1 |
| Practice expense | 3.85 | 0.859 |
| Malpractice | 2.37 | 0.515 |
(9.29 × 1 + 3.85 × 0.859 + 2.37 × 0.515) × $33.4009 = $461.52
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.
35903 billing questions
How is 35903 distinguished from 35905?
Choose 35903 for an infected graft in an extremity. Code 35905 identifies an infected graft in the thorax.
What documentation supports reporting 35903?
The operative report should establish the graft’s extremity location and document that the graft was excised to address infection.
Does the 90-day global period include postoperative care?
Yes. It includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be used for grafts in both extremities?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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 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.
4,42435883,,Revj fem anast nonautog grf,A,,22.57,4.13,NA,4.13,,5.74,32.44,32.44,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42535884,,Revj fem anast autog vn grf,A,,24.03,3.57,NA,3.57,,6.15,33.75,33.75,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42635901,,Excision graft neck,A,,8.17,2.89,NA,2.89,,2.08,13.14,13.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42735903,,Excision graft extremity,A,,9.29,3.85,NA,3.85,,2.37,15.51,15.51,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42835905,,Excision graft thorax,A,,32.68,4.67,NA,4.67,,8.35,45.70,45.70,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42935907,,Excision graft abdomen,A,,36.34,6.01,NA,6.01,,9.24,51.59,51.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43036000,,Place needle in vein,B,+,0.18,0.74,,0.04,,0.02,0.94,0.24,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541