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See a sample rate comparisonCPT 35122 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 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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 62 - Co-Surgeons 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,716.47 national non-facility rate (2026) · View Medicare rates for 35122 |
| Medicaid Fee Schedule | $1,472.585 median of the 8 states in the free preview · View Medicaid rates for 35122 |
National average reimbursement for CPT 35122 by major payers:
$2,573.68
$2,724.34
$2,772.29
$3,147.82
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CPT 35122
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Sugar Land LLP
$4,893.00Published rateMountain Vista Orthopaedic Surgery Center, LLC
$1,080.00Published rateE-Asc LLC, Beacon Evendale Surgical Center
$773.00Published rateWest Shore Pain And Spine Institute, LLC
West Shore Pain And Spine Institute LLC
$450.00Published rateForest Canyon Endoscopy & Surgery Ctr PC
Forest Canyon Endoscopy & Surgery Center, PC
$100.00Published rate
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See a sample payer proposalCPT 35122 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35122 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 35122 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 |
|---|---|---|
| 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 |
| 35131-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 Iliac Artery 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 35122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35122 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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