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See a sample rate comparisonCPT 35281 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.
Rpair Blood Vessel W/ Grft Other Than Vein; Intra-Abdomi, Repair Blood Vessel With Graft Other Than Vein; Intra-Abdominal
| 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 | 82 - Assistant surgeon - no qualified resident 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,485.67 national non-facility rate (2026) · View Medicare rates for 35281 |
| Medicaid Fee Schedule | $1,185.915 median of the 8 states in the free preview · View Medicaid rates for 35281 |
National average reimbursement for CPT 35281 by major payers:
$2,227.46
$2,247.02
$2,319.04
$2,578.88
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CPT 35281
5 of 25 sample ratesHigher to lower in this preview
Ann & Robert H. Lurie Children'S Hospital Of Chicago, Lurie Children'S Surgery Center In Northbrook
Ann & Robert H Lurie Childrens Hospital Of Chicago
$8,083.00Published rateSurgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
$1,274.00Published rateWellington Endoscopy Center LLC
$1,049.00Published rateUch Vascular Access Asc LLC
$559.00Published rateSouth Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA
South Jersey Eye Physicians, PA
$375.00Published rate
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See a sample payer proposalCPT 35281 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35281 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 35281 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 |
|---|---|---|
| 35276-CPT | High | Rpair Blood Vessel W/ Grft Other Than Vein; Intrathoracic W/O, Repair Blood Vessel With Graft Other Than Vein; Intrathoracic Without |
| 35281-CPT | High | Rpair Blood Vessel W/ Grft Other Than Vein; Intra-Abdomi, Repair Blood Vessel With Graft Other Than Vein; Intra-Abdominal |
| 35286-CPT | High | Rpair Blood Vessel W/ Grft Other Than Vein; Lower Xtremit, Repair Blood Vessel With Graft Other Than Vein; Lower Extremity |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35281. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35281 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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