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See a sample rate comparisonCPT 35121 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 Hepatic Celiac Renal Or Mesenteric Artery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 80 - Assistant surgeon RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,436.91 national non-facility rate (2026) · View Medicare rates for 35121 |
| Medicaid Fee Schedule | $1,109.335 median of the 8 states in the free preview · View Medicaid rates for 35121 |
National average reimbursement for CPT 35121 by major payers:
$2,265.56
$2,264.39
$2,343.26
$2,575.31
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CPT 35121
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At St. Francis, LLC
The Endoscopy Center At St Francis LLC
$6,362.00Published rateTamarac Surgery Center LLC, The Surgery Center Of Ft Lauderdale
Tamarac Surgery Center LLC
$1,064.00Published rateBellingham Urology Group, PLLC
$654.00Published rateEndoscopy Center Of Washington Dc Lp, The Endoscopy Center Of Washington, D.C.
Endoscopy Center Of Washington Dc Lp
$405.00Published rateAkdhc Surgery Center, LLC
$100.00Published rate
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See a sample payer proposalCPT 35121 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35121 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 35121 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 |
|---|---|---|
| 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. |
| 35121-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 Hepatic Celiac Renal Or Mesenteric Artery |
| 35122-CPT | High | Repair Artery Rupture Belly, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Ruptured Aneurysm Hepatic Celiac Renal Or Mesenteric Artery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35121 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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