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See a sample rate comparisonCPT 35103 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 Iliac Vessels Common Hypogastric External
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 80 - Assistant surgeon GC - Service performed by resident under supervision 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $1,966.31 national non-facility rate (2026) · View Medicare rates for 35103 |
| Medicaid Fee Schedule | $1,517.11 median of the 8 states in the free preview · View Medicaid rates for 35103 |
National average reimbursement for CPT 35103 by major payers:
$2,895.37
$3,135.96
$3,228.46
$3,635.28
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CPT 35103
5 of 25 sample ratesHigher to lower in this preview
Mckinney Surgery Center, Lp, The Surgery Centre At Craig Ranch
$6,068.00Published rateSouth County Outpatient Endoscopy Services, Lp, Scopes Endoscopy Center
$1,049.00Published rateA Center For Foot And Ankle Surgery PA, The Center For Special Surgery Of Hawthorne
A Center For Foot And Ankle Su
$857.00Published rateApex Ambulatory Surgery Center Inc
$470.00Published rateYuma Valley Ambulatory Pain Services Inc
$100.00Published rate
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See a sample payer proposalCPT 35103 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35103 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 35103 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 |
|---|---|---|
| 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 |
| 35103-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 Iliac Vessels Common Hypogastric External |
| 35111-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 Splenic Artery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35103. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35103 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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