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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,327.02 national non-facility rate (2026) · View Medicare rates for 35501 |
| Medicaid Fee Schedule | $1,024.72 median of the 8 states in the free preview · View Medicaid rates for 35501 |
National average reimbursement for CPT 35501 by major payers:

$2,072.43

$2,042.66

$2,132.56

$2,322.06
Choose a payer to see a sample of rates for CPT 35501.
Sjv Management, LLC, South Jersey Vascular Surgery Center
Sjv Management, LLC
Middle Tennessee Ambulatory Surgery Center, L.P.
Middle Tennessee Ambulatory Surgery Center Lp
North Pacific Dermatology Ps
The Skin Cancer Center, Inc.
The Skin Cancer Center Inc
Children'S Dental Surgery Center Of Jackson LLC, Children'S Dental Surgery Of Jackson
Childrens Dental Surgery Center Of Jackson LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 35501 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35501 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 35501 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 |
|---|---|---|
| 35390-CPT | Moderate | Reoperation Carotid Thromboe, Reoperation Carotid Thromboendarterectomy More Than Onemonth After Original Operation (List Separately In Addition To Code For Primary Procedure) |
| 35501-CPT | High | Bypass Grft W/ Vein; Common Carotid-Ipsilateral Intern Carotid, Bypass Graft With Vein; Common Carotid-Ipsilateral Internal Carotid |
| 35506-CPT | High | Bypass Graft With Vein Carot, Bypass Graft With Vein Carotid-Subclavian Or Subclavian-Carotid Bypass Graft With Vein Carotid-Subclavian |
| 35508-CPT | High | Bypass Graft W Vein; Carotid-Vertebral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35501 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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