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See a sample rate comparisonCPT 35021 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 Innominate Subclavian Artery By Thoracic Incision
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $1,209.11 national non-facility rate (2026) · View Medicare rates for 35021 |
| Medicaid Fee Schedule | $948.375 median of the 8 states in the free preview · View Medicaid rates for 35021 |
National average reimbursement for CPT 35021 by major payers:
$1,705.33
$1,728.82
$1,801.63
$2,016.35
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CPT 35021
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S Surgicenter
Saint Lukes Surgicenter
$6,175.00Published rateFreeman Surgical Center LLC
Freeman Health System
$2,225.00Published rateCarondelet St. Mary'S Northwest, LLC, Carondelet Foothills Surgery Center
Camp Lowell Surgery Center
$1,064.00Published ratePsa Ambulatory Surgical Center Of Austin LLC
$610.00Published ratePremier Surgery Center Of Pittsburgh, LLC
Premier Surgery Center Of Pittsburgh LLC
$100.00Published rate
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See a sample payer proposalCPT 35021 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35021 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 35021 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 |
| 35002-CPT | High | Repair Artery Rupture Neck, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Ruptured Aneurysm Carotid Subclavian Artery By Neck Incision |
| 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 35021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35021 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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