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See a sample rate comparisonCPT 35511 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 W Vein; Subclavian-Subclavi
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,019.73 national non-facility rate (2026) · View Medicare rates for 35511 |
| Medicaid Fee Schedule | $868.375 median of the 8 states in the free preview · View Medicaid rates for 35511 |
National average reimbursement for CPT 35511 by major payers:
$1,430.73
$1,617.28
$1,647.62
$1,821.38
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CPT 35511
5 of 25 sample ratesHigher to lower in this preview
Rockland Surgical Project, LLC, Ramapo Valley Surgical Center
Rockland Surgical Project LLC
$4,300.00Published rateSurgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
$1,049.00Published rateSan Luis Obispo Ca Endoscopy Asc Lp, Templeton Endoscopy Center
San Luis Obispo Ca Endoscopy Asc Lp
$686.00Published rateAcadiana Surgery Center, Inc.
Acadiana Surgery Center Inc
$425.00Published rateCastleman Surgery Center, LLC, Southgate Surgery Center
Castleman Surgery Center LLC
$97.00Published rate
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See a sample payer proposalCPT 35511 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35511 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 35511 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 |
|---|---|---|
| 35511-CPT | High | Bypass Graft W Vein; Subclavian-Subclavi |
| 35512-CPT | High | Bypass Graft, With Vein; Subclavian-Brachial |
| 35606-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. |
| 35612-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 35511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35511 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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