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See a sample rate comparisonCPT 35005 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Defect Of Artery, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Aneurysm Pseudoaneurysm And Associated Occlusive Disease Vertebral Artery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $908.84 national non-facility rate (2026) · View Medicare rates for 35005 |
| Medicaid Fee Schedule | $703.415 median of the 8 states in the free preview · View Medicaid rates for 35005 |
National average reimbursement for CPT 35005 by major payers:
$1,441.73
$1,438.57
$1,472.75
$1,633.64
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CPT 35005
5 of 25 sample ratesHigher to lower in this preview
Cedar Park Surgery Center, LLC
Cedar Park Surgery Center LLC
$2,164.00Published rateThe University Of Texas At Austin, Ut Health Austin Ambulatory Surgery Center
$1,200.00Published rateTidelands Health Asc LLC, Tidelands Health Surgery Center At The Market Common
Tidelands Health Asc LLC
$788.00Published rateChesapeake Eye Surgery Center, LLC
$424.00Published rateMain Line PA Endoscopy Asc Lp, Main Line Endoscopy Center Malvern
$238.00Published rate
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See a sample payer proposalCPT 35005 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35005 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 35005 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 35001-CPT | High | Repair Defect Of Artery, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Aneurysm And Associated Occlusive Disease Carotid Subclavian Artery By Neck Incision |
| 35005-CPT | High | Repair Defect Of Artery, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Aneurysm Pseudoaneurysm And Associated Occlusive Disease Vertebral Artery |
| 35011-CPT | High | Repair Defect Of Artery, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Aneurysm And Associated Occlusive Disease Axillary Brachial Artery By Arm Incision |
| 35021-CPT | High | Repair Defect Of Artery, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Aneurysm Pseudoaneurysm And Associated Occlusive Disease Innominate Subclavian Artery By Thoracic Incision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35005 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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