Billing code 35876: Graft thrombectomyMedicare rate & RVUs in Georgia
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 doesn’t publish an office rate for 35876 in Georgia.
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 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 in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $889.31 |
| Rest Of Georgia | Unavailable | $869.95 |
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
Work17.37
17.37 RVUs× 1.000 GPCI
Practice expense3.94
3.94 RVUs× 1.000 GPCI
Malpractice4.33
4.33 RVUs× 1.000 GPCI
Adjusted RVUs
25.6400
Conversion factor
$33.4009
Medicare rate
$856.40
Every GPCI starts 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
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 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.
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%).
35876 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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