No office rate
Use 35903 when the infected graft being excised is in an extremity; this code is for a neck-site graft.
On this page
CMS RVU26D · Effective 2026-10-01
35901 Graft excision Medicare reimbursement rates in Indiana
Reports operative removal of infected vascular graft material in the neck, such as a graft involved in a neck-site vascular infection. Compare 35901 office and facility rates across CMS payment localities in Indiana.
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 35901 in Indiana?
Indiana 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
$396.13
1 of 1 localities have a supported rate.
Payment area: Indiana
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 35901: Infected vascular graft excision, neck
Reports operative removal of infected vascular graft material in the neck, such as a graft involved in a neck-site vascular infection.
This operation removes infected vascular graft material located in the neck to address infection involving the graft. Vascular surgeons typically perform it in a hospital operating room, often when a patient has a diagnosed infection involving a vascular graft in the neck. The operative report should make clear that the graft being excised is at the neck site and describe the removal performed.
Select this code by the location of the infected graft, not simply the incision or the patient's symptoms. The record should identify the graft infection and document the neck-site operative work. Medicare assigns a 90-day global period, including 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 others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35901
- 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 RVU8.17 · 62%
- Practice expense (office) RVU2.89 · 22%
- Malpractice RVU2.08 · 16%
27
Medicare services in 2024 · #5735 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.
35901 compared with similar codes
Office rates for Indiana, from the same CMS release.
Compare 35901 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
Indiana →
Office / nonfacility
Unavailable
Facility
$396.13
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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 35901 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,426
- Code
- 35901
- Physician work
- 8.17
- Practice expense
- 2.89
- Malpractice
- 2.08
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.17 | × 1.000 | 8.1700 |
| Practice expense | 2.89 | × 0.927 | 2.6790 |
| Malpractice | 2.08 | × 0.486 | 1.0109 |
| Total RVUs | 11.8599 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$396.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.17 | 1 |
| Practice expense | 2.89 | 0.927 |
| Malpractice | 2.08 | 0.486 |
(8.17 × 1 + 2.89 × 0.927 + 2.08 × 0.486) × $33.4009 = $396.13
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.
35901 billing questions
How do I choose this code over another infected-graft excision code?
Use this code when the infected graft being excised is in the neck. Codes in the same family distinguish other graft locations, including an extremity, thorax, or abdomen.
What documentation supports reporting this code?
Document the vascular graft infection, the graft's neck location, and the operative work removing graft material. The location of the infected graft determines the family member.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be reported for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor or anatomy.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does Medicare handle this with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
4,42335881,,Revise graft w/vein,A,,18.87,4.35,NA,4.35,,4.76,27.98,27.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42435883,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915