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See a sample rate comparisonCPT 35111 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 Splenic Artery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,208.45 national non-facility rate (2026) · View Medicare rates for 35111 |
| Medicaid Fee Schedule | $933.67 median of the 8 states in the free preview · View Medicaid rates for 35111 |
National average reimbursement for CPT 35111 by major payers:
$1,791.89
$1,896.30
$1,940.75
$2,159.67
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CPT 35111
5 of 25 sample ratesHigher to lower in this preview
Denton Regional Ambulatory Surgery Center, L.P., Medical City Surgery Center/Denton
Denton Regional Ambulatory Surgery Center Lp
$2,705.00Published rateWest Chester Surgical Suites, LLC
West Chester Surgical Suites LLC
$1,049.00Published rateSpine Care Delaware, LLC
Spine Care Delaware LLC
$795.00Published rateTeredesai Mccann & Associates PC, Tma Vascular Access Center
Teredesai Mccann & Associates, P.C.
$524.00Published rateMontgomery Eye Surgery Center LLC, Montgomery Eye Surgery Center
Montgomery Eye Surgery Center LLC
$150.00Published rate
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See a sample payer proposalCPT 35111 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35111 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 35111 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 |
|---|---|---|
| 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 |
| 35112-CPT | High | Repair Rupture Of Large Artery, Surgery To Repair A Ruptured (Burst) Segment Of A Large Or Medium-Sized Artery In The Neck Arm Leg Or Abdomen. An Artificial Material May Be Used To Patch Up The Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35111 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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