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.
On this page
CMS RVU26D · Effective 2026-10-01
35883 Graft revision Medicare reimbursement rates in Pennsylvania
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 Pennsylvania.
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 Pennsylvania?
Pennsylvania 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
$1061.67–$1139.75
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 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 Pennsylvania, from the same CMS release.
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.
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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1139.75
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1061.67
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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.
4,42135876,,Removal of clot in graft,A,,17.37,3.94,NA,3.94,,4.33,25.64,25.64,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42235879,,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