Billing code 35907: Graft excisionMedicare rate & RVUs in Oklahoma

Reports surgical removal of an infected vascular graft in the abdomen, with code selection based on the graft’s anatomic location.

CMS RVU26DEffective Oct 1, 20261 payment locality161 Medicare services in 2024

CMS doesn’t publish an office rate for 35907 in Oklahoma.

—Office (non-facility)
$1,632.85Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 35907 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oklahoma
  2. What 35907 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 35907 covers

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.

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 in Oklahoma

35907 office and facility rates by payment locality
Payment localityOfficeFacility
OklahomaUnavailable$1,632.85

How the 35907 rate is calculated

Each of 35907’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 · 35907

RVUs × geographic indexes × conversion factor

Work36.34

36.34 RVUs× 1.000 GPCI

Practice expense6.01

6.01 RVUs× 1.000 GPCI

Malpractice9.24

9.24 RVUs× 1.000 GPCI

Adjusted RVUs

51.5900

Conversion factor

$33.4009

Medicare rate

$1,723.15

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 35907

35907 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35907

Graft excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35907

Graft excision

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

35907 without 51 · national facility

$1,723.15

Graft excision

35907-51 · Second procedure: 50%

$861.58

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

35907 compared with similar codes

Compare codes · National

4 codes, side by side

  • 35907

    Graft excision36.34 wRVU

    Not priced

  • 35901

    Graft excision8.17 wRVU

    Not priced

  • 35903

    Graft excision9.29 wRVU

    Not priced

  • 35905

    Graft excision32.68 wRVU

    Not priced

How to choose

35901Graft excision
Use 35901 for an infected graft in the neck. Code 35907 is for an abdominal graft.
35903Graft excision
Use 35903 when the infected graft is in an extremity; 35907 identifies an abdominal location.
35905Graft excision
Use 35905 for an infected graft in the thorax. The abdominal location distinguishes 35907.

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 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
RVUs for 35907PPRRVU2026_Oct_nonQPP.csv, line 4,429 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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