Billing code 35884: Graft revisionMedicare rate & RVUs in Florida
Reports operative revision of a lower-extremity bypass connection to a femoral artery when the graft is the patient’s own vein.
CMS doesn’t publish an office rate for 35884 in Florida.
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 9 sections
What 35884 covers
A vascular surgeon uses this code for operative repair or reconstruction of the connection between a femoral artery and an autogenous vein bypass graft. The work may address narrowing or another problem at that anastomosis. The key distinctions are the femoral location and that the conduit is the patient’s own vein; a synthetic graft or a different bypass segment points to other coding. These procedures are generally performed in an operating room, often in a hospital facility.
The operative report should identify the femoral anastomosis, confirm the graft is autogenous vein, describe the revision performed, and document the reason for surgery. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be made; 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 35884 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,294.81 |
| Miami | Unavailable | $1,446.25 |
| Rest Of Florida | Unavailable | $1,225.36 |
How the 35884 rate is calculated
Each of 35884’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 · 35884
RVUs × geographic indexes × conversion factor
Work24.03
24.03 RVUs× 1.000 GPCI
Practice expense3.57
3.57 RVUs× 1.000 GPCI
Malpractice6.15
6.15 RVUs× 1.000 GPCI
Adjusted RVUs
33.7500
Conversion factor
$33.4009
Medicare rate
$1,127.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35884
35884 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35884
Graft revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35884
Graft revision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35884 without 50 · national facility
$1,127.28
Graft revision
35884-50 · Bilateral: 150%
$1,690.92
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
35884 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 35883Graft revision
- Both address a femoral graft anastomosis. Choose between them based on conduit material: this code is for autogenous vein, while 35883 is for nonautogenous graft.
- 35879Bypass revision
- 35879 describes lower-extremity bypass revision with vein patch angioplasty. This code is specific to revision at the femoral anastomosis of an autogenous vein graft.
- 35881Bypass revision
- 35881 describes bypass revision using segmental vein interposition. This code identifies revision of the femoral anastomosis of an autogenous vein graft.
- 35876Graft thrombectomy
- Use 35876 when open thrombectomy is performed with graft revision. This code describes femoral-anastomosis revision of an autogenous vein graft without that thrombectomy-specific distinction.
35884 billing questions
How does this differ from revision of a nonautogenous graft?
Use this code when the femoral anastomosis being revised connects to the patient’s own vein. A nonautogenous, such as synthetic, graft is represented by 35883.
Is this the right code when the graft is thrombosed?
The operative work determines the choice. When open thrombectomy is performed with graft revision, compare 35876; this code identifies revision at the femoral anastomosis of an autogenous vein graft.
What operative documentation supports this code?
Document the femoral anastomosis, the autogenous vein conduit, the problem treated, and the revision performed. The report should distinguish this work from revision of another bypass segment.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The period applies to this major surgery.
How are bilateral cases and multiple procedures handled?
A bilateral procedure reported with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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
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