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CPT 35241 Fee Schedule

Last Verified: December 2025

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 Ves.W Graft; Intrathoracic
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Cardiovascular System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

LT - Left side of body

AS - PA/NP/CNS assistant at surgery

Complexity LevelHigh

National average reimbursement for CPT 35241 by major payers:

bcbs

$2,008.88

uhc

$1,986.99

aetna

$2,066.30

cigna

$2,359.35

Preview provider-level rates for...
For billing codeCPT 35241
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 35241

United
35241$450.001629429410 - LAKEVIEW SURGERY CENTER LLC811806084 - (MD) LAKEVIEW SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$508.001275647901 - PERMIAN BASIN SURGICAL CARE CENTER, LLC, VISTA SURGERY CENTER830343238 - (TX) PERMIAN BASIN SURGICAL CARE CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$1274.001740778554 - ORO VALLEY SURGICAL SUITES LLC823931790 - (AZ) ORO VALLEY SURGICAL SUITES, LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$700.001225627094 - GEORGIA INTERVENTIONAL PAIN851355715 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$1049.001699284018 - ONYX & PEARL SURGICAL SUITES LLC821183739 - (OH) ONYX & PEARL SURGICAL SUITES, LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$376.001740413400 - ATLANTIC SURGERY & LASER CENTER LLC262041000 - (FL) ATLANTIC SURGERY LASER CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$400.001407095359 - PAIN CARE CENTER OF GEORGIA LLC814348805GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$295.001700881539 - ARTURO BETANCOURT, M.D., P.A., BALTIMORE WASHINGTON EYE CENTER522032553 - (MD) ARTURO BETANCOURT, MD, PAMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$461.001225497019 - LANGLEY HOLDINGS, LLC473550370OKAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$650.001053933952 - GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A., KERNERSVILLE ENDOSCOPY CENTER561251665 - (NC) GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, PANCAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$983.001053453134 - ADVANCED SURGICAL CONCEPTS LLC331035210 - (LA) ADVANCED SURGICAL CONCEPTS LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$7969.001528653037 - BASALT ORTHOPEDIC SURGERY CENTER, LLC, BOSC844161898 - (CO) BASALT ORTHOPEDIC SURGERY CENTER LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$449.001205266632 - ARKANSAS RENAL GROUP PA, OUACHITA PROCEDURE CENTER453592104 - (AR) ARKANSAS RENAL GROUP PAARAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$553.001467844068 - WEST ANNAPOLIS SURGERY CENTER, LLC472474153 - (MD) WEST ANNAPOLIS SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
35241$177.001497831523 - BOSTON IVF, INC., THE SURGERY CENTER OF WALTHAM42921956 - (MA) BOSTON IVF, LLCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 35241 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 35241 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 35241 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.

CodeComplexityDescription
35236-CPTHighRep Vessel W Vein Graft Arm
35241-CPTHighRepair Blood Ves.W Graft; Intrathoracic
35246-CPTHighRep Vessel W Vein Graft Thorax

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35241. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 35241 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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