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CMS RVU26D · Effective 2026-10-01

35905 Graft excision Medicare reimbursement rates in Washington

Reports operative removal of an infected vascular graft in the thorax, such as an infected graft from prior thoracic aortic reconstruction. Compare 35905 office and facility rates across CMS payment localities in Washington.

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 35905 in Washington?

Washington 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

$1482.22–$1565.37

2 of 2 localities have a supported rate.

Lowest: Rest Of Washington

Highest: Seattle (King Cnty)

A spread of $83.15 per service.

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.

Find 35905 in your payment locality →

Vascular surgery

About 35905: Infected thoracic vascular graft excision

Reports operative removal of an infected vascular graft in the thorax, such as an infected graft from prior thoracic aortic reconstruction.

This service involves surgically removing infected vascular graft material located in the thorax. A vascular surgeon commonly performs it in a hospital operating room for infection involving a prior thoracic vascular reconstruction, including an aortic graft. The operative report should identify the graft’s thoracic location, the evidence of infection, and the graft material removed.

Select this code by the location of the infected graft, not by the original operation or the access incision. Documentation should support both the infection and the excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not use modifier 50 for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 35905

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 RVU32.68 · 72%
  • Practice expense (office) RVU4.67 · 10%
  • Malpractice RVU8.35 · 18%

39

Medicare services in 2024 · #5519 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.

35905 compared with similar codes

Office rates for Washington, from the same CMS release.

35901

Graft excision

Neck site

No office rate

Use 35901 when the infected graft is in the neck; use 35905 when it is in the thorax.

35903

Graft excision

Extremity site

No office rate

Use 35903 for an infected graft in an extremity. The thoracic location distinguishes 35905.

35907

Graft excision

Abdominal location

No office rate

Use 35907 when the infected graft is in the abdomen; 35905 identifies a thoracic graft.

Compare 35905 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

Office and facility base rates · shared scale starting at $0

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35905 billing questions

How do I distinguish this code from 35903?

Choose by the location of the infected graft: 35905 is for a graft in the thorax, while 35903 is for one in an extremity.

What documentation supports reporting this service?

The operative report should describe the infection, identify the graft’s thoracic location, and document the graft material removed.

Should modifier 50 be appended for grafts on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be available. 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.

RVUs for 35905PPRRVU2026_Oct_nonQPP.csv, line 4,428 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet