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See a sample rate comparisonCPT 35506 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.
Bypass Graft With Vein Carot, Bypass Graft With Vein Carotid-Subclavian Or Subclavian-Carotid Bypass Graft With Vein Carotid-Subclavian
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,159.01 national non-facility rate (2026) · View Medicare rates for 35506 |
| Medicaid Fee Schedule | $963.64 median of the 8 states in the free preview · View Medicaid rates for 35506 |
National average reimbursement for CPT 35506 by major payers:
$1,792.64
$1,792.41
$1,832.07
$2,086.14
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CPT 35506
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$4,530.00Published rateTexan Ambulatory Surgery Center, Texan Surgery Center
$1,274.00Published rateOrthoatlanta Surgery Center Of Fayetteville, LLC
Orthoatlanta Surgery Center Of Fayetteville LLC
$852.00Published rateLee Surgery Center LLC
$535.00Published rateAssociated Eye Surgical Center LLC
$312.00Published rate
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See a sample payer proposalCPT 35506 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35506 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 35506 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 |
| 35512-CPT | High | Bypass Graft, With Vein; Subclavian-Brachial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35506. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35506 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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