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See a sample rate comparisonCPT 35092 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 Artery Rupture Aorta, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Ruptured Aneurysm Abdominal Aorta Involving Visceral Vessels Mesenteric Celiac Renal
| 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 | GC - Service performed by resident under supervision 62 - Co-Surgeons 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $2,291.30 national non-facility rate (2026) · View Medicare rates for 35092 |
| Medicaid Fee Schedule | $1,969.035 median of the 8 states in the free preview · View Medicaid rates for 35092 |
National average reimbursement for CPT 35092 by major payers:
$3,479.92
$3,631.15
$3,747.23
$4,130.51
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CPT 35092
5 of 25 sample ratesHigher to lower in this preview
Medical Plaza Ambulatory Surgery Center Associates, L.P., Medical City Surgery Center/Fort Worth
Medical Plaza Ambulatory Surgery Center Associates Lp
$2,575.00Published rateLakewood Surgery Center, LLC
Lakewood Surgery Center LLC
$1,112.00Published rateEndoscopy Center Of Western New York LLC
$632.00Published rateApac Surgical Center II, LLC, Apac Surgery Center II LLC
Apac Surgical Center II LLC
$400.00Published rateEye And Laser Surgery Centers Of New Jersey LLC
$275.00Published rate
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See a sample payer proposalCPT 35092 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35092 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 35092 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 |
|---|---|---|
| 35091-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 Abdominal Aorta Involving Visceral Vessels Mesenteric Celiac Renal |
| 35092-CPT | High | Repair Artery Rupture Aorta, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Ruptured Aneurysm Abdominal Aorta Involving Visceral Vessels Mesenteric Celiac Renal |
| 35102-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 Abdominal Aorta Involving Iliac Vessels Common Hypogastric External |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35092. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35092 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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