Billing code 35883: Graft revisionMedicare rate & RVUs in Nevada
Reports open revision of a femoral artery connection to a synthetic bypass graft, commonly to correct narrowing or another anastomotic problem.
CMS doesn’t publish an office rate for 35883 in Nevada.
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 35883 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,051.65 |
How the 35883 rate is calculated
Each of 35883’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 · 35883
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 22.57Practice expense 4.13Malpractice 5.74
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35883
35883 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35883
Graft revision
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 35883
Graft revision
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 50 · payment effect
With and without the modifier
35883 without 50 · national facility
$1,083.53
Graft revision
35883-50 · Bilateral: 150%
$1,625.30
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
35883 compared with similar codes
Compare codes
35883 vs 35884 vs 35879 vs 35881: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35884Graft revision
- Both address a femoral bypass anastomosis, but 35884 is selected for an autogenous vein graft; this code is for a nonautogenous graft.
- 35879Bypass revision
- 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.
- 35881Bypass revision
- 35881 describes bypass revision using segmental vein interposition. This code instead identifies revision of a femoral anastomosis involving a nonautogenous graft.
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 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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