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See a sample rate comparisonCPT 35211 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 Blood Vessels,Dir; Intrathoracic
| 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 | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,320.34 national non-facility rate (2026) · View Medicare rates for 35211 |
| Medicaid Fee Schedule | $1,049.335 median of the 8 states in the free preview · View Medicaid rates for 35211 |
National average reimbursement for CPT 35211 by major payers:
$1,882.32
$1,918.72
$1,999.10
$2,235.77
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CPT 35211
5 of 25 sample ratesHigher to lower in this preview
Wasatch Front Surgery Center LLC
$2,847.00Published rateVirginia Eye Institute Inc, Virginia Eye Institute Surgery Pavilion
Virginia Eye Institute Inc
$1,262.00Published ratePearland Surgery Center, LLC
$760.00Published rateMedical City Surgery Center North Texas, LLC
$513.00Published rateAndre J Golino Md And Associates PA, Palm Beach Eye Clinic
Andre J Golino Md And Associates PA
$340.00Published rate
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See a sample payer proposalCPT 35211 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35211 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 35211 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35211. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35211 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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