No office rate
Use 35901 for an infected graft in the neck. Code 35907 is for an abdominal graft.
On this page
CMS RVU26D · Effective 2026-10-01
35907 Graft excision Medicare reimbursement rates in Guam
Reports surgical removal of an infected vascular graft in the abdomen, with code selection based on the graft’s anatomic location. Compare 35907 office and facility rates across CMS payment localities in Guam.
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 35907 in Guam?
Guam 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
$1620.72
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 35907: Abdominal vascular graft excision
Reports surgical removal of an infected vascular graft in the abdomen, with code selection based on the graft’s anatomic location.
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.
CMS billing rules for 35907
- 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 RVU36.34 · 70%
- Practice expense (office) RVU6.01 · 12%
- Malpractice RVU9.24 · 18%
161
Medicare services in 2024 · #4503 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.
35907 compared with similar codes
Office rates for Guam, from the same CMS release.
Compare 35907 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1620.72
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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 35907 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,429
- Code
- 35907
- Physician work
- 36.34
- Practice expense
- 6.01
- Malpractice
- 9.24
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.34 | × 1.000 | 36.3400 |
| Practice expense | 6.01 | × 1.137 | 6.8334 |
| Malpractice | 9.24 | × 0.579 | 5.3500 |
| Total RVUs | 48.5233 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1620.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.34 | 1 |
| Practice expense | 6.01 | 1.137 |
| Malpractice | 9.24 | 0.579 |
(36.34 × 1 + 6.01 × 1.137 + 9.24 × 0.579) × $33.4009 = $1620.72
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.
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 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.
4,42635901,,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
4,43136002,,Pseudoaneurysm injection trt,A,,1.91,2.32,,0.54,,0.30,4.53,2.75,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43236005,,Injection ext venography,A,,0.93,6.23,,0.16,,0.16,7.32,1.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014