No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
35884 Graft revision Medicare reimbursement rates in Maine
Reports operative revision of a lower-extremity bypass connection to a femoral artery when the graft is the patient’s own vein. Compare 35884 office and facility rates across CMS payment localities in Maine.
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 35884 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1040.09–$1050.41
2 of 2 localities have a supported rate.
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 35884: Femoral anastomosis revision, autogenous vein graft
Reports operative revision of a lower-extremity bypass connection to a femoral artery when the graft is the patient’s own vein.
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.
CMS billing rules for 35884
- 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 RVU24.03 · 71%
- Practice expense (office) RVU3.57 · 11%
- Malpractice RVU6.15 · 18%
31
Medicare services in 2024 · #5643 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.
35884 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
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.
No office rate
35881 describes bypass revision using segmental vein interposition. This code identifies revision of the femoral anastomosis of an autogenous vein graft.
No office rate
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.
Compare 35884 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$1040.09
Southern Maine →
Office / nonfacility
Unavailable
Facility
$1050.41
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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 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.
4,42235879,,Revise graft w/vein,A,,16.97,3.89,NA,3.89,,4.32,25.18,25.18,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42335881,,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