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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 |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,118.60 national non-facility rate (2026) · View Medicare rates for 35510 |
| Medicaid Fee Schedule | $959.42 median of the 8 states in the free preview · View Medicaid rates for 35510 |
National average reimbursement for CPT 35510 by major payers:

$1,713.63

$1,735.49

$1,783.62

$2,020.37
Choose a payer to see a sample of rates for CPT 35510.
New Gulf Coast Surgery Center, LLC
Gulfport Surgery Clinic, LLC
St. Luke'S Surgery Center Of Chesterfield, LLC
St Lukes Surgery Center Of Chesterfield LLC
Lebonheur East Surgery Center II Lp, Lebonheur East Surgery Center Lp
Lebonheur East Surgery Center II Lp
Asc Development Company, LLC
Asc Development Company LLC
Joon Y. Kim, Md, PC, Clayton Cataract & Laser Surgery Center
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 35510 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35510 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 35510 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 |
|---|---|---|
| 35501-CPT | High | Bypass Grft W/ Vein; Common Carotid-Ipsilateral Intern Carotid, Bypass Graft With Vein; Common Carotid-Ipsilateral Internal Carotid |
| 35509-CPT | High | Bypass Graft With Vein Carot, Bypass Graft With Vein Carotid-Contralateral Carotid Bypass Graft With Vein Carotid-Carotid |
| 35510-CPT | High | Bypass Graft, With Vein; Carotid-Brachial |
| 35601-CPT | High | Artery Bypass With Graft, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Artery Using A Synthetic Material (Graft) To Replace The Diseased Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35510 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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