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CMS RVU26D · Effective 2026-10-01

35883 Graft revision Medicare reimbursement rates in Illinois

Reports open revision of a femoral artery connection to a synthetic bypass graft, commonly to correct narrowing or another anastomotic problem. Compare 35883 office and facility rates across CMS payment localities in Illinois.

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 35883 in Illinois?

Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1179.46–$1337.77

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Chicago

A spread of $158.31 per service.

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.

Find 35883 in your payment locality →

Where 35883 pays more and less in Illinois

Vascular surgery

About 35883: Femoral anastomosis revision, synthetic graft

Reports open revision of a femoral artery connection to a synthetic bypass graft, commonly to correct narrowing or another anastomotic problem.

A vascular surgeon uses this code for open revision of the connection between a femoral artery and a synthetic lower-extremity bypass graft. A typical reason is narrowing at the graft-to-artery junction, such as stenosis associated with intimal hyperplasia. The procedure is performed in an operating room; it is distinct from simply exploring a limb vessel or removing clot from a graft without revising the connection.

Report this code when the operative record supports revision of a femoral anastomosis involving a nonautogenous graft; a vein graft uses a different code. Documentation should identify the graft material, anastomosis site, the problem treated, and the revision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

CMS billing rules for 35883

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 procedure with modifier 50 is paid at 150%.
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 RVU22.57 · 70%
  • Practice expense (office) RVU4.13 · 13%
  • Malpractice RVU5.74 · 18%

259

Medicare services in 2024 · #4108 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.

35883 compared with similar codes

Office rates for Illinois, from the same CMS release.

35884

Graft revision

Autogenous vein at femoral anastomosis

No office rate

Both address a femoral bypass anastomosis, but 35884 is selected for an autogenous vein graft; this code is for a nonautogenous graft.

35879

Bypass revision

Femoral-popliteal, vein patch

No office rate

35879 describes lower-extremity bypass revision with vein patch angioplasty. Select based on the documented procedure rather than treating it as a graft-material variant of this code.

35881

Bypass revision

Vein interposition, no thrombectomy

No office rate

35881 describes bypass revision using segmental vein interposition. This code instead identifies revision of a femoral anastomosis involving a nonautogenous graft.

Compare 35883 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.

4 of 4 payment localities

Office and facility base rates · shared scale starting at $0

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35883 billing questions

How do I distinguish this code from 35884?

The graft material determines the choice: this code is for a nonautogenous, such as synthetic, graft; 35884 is for an autogenous vein graft.

When is this more appropriate than a graft thrombectomy code?

Use this code when the surgeon revises the femoral anastomosis. Clot removal without that anastomotic revision is a different service.

What documentation supports reporting this code?

The operative report should identify the femoral anastomosis, the graft as nonautogenous, the defect or narrowing addressed, and the revision performed.

Can modifier 50 be used for bilateral work?

CMS lists this as a bilateral procedure; reporting with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 35883PPRRVU2026_Oct_nonQPP.csv, line 4,424 (RVU26D)