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See a sample rate comparisonCPT 35518 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 Gft,W/Vein;Axillary-Axillary
| 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 | LT - Left side of body AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,038.43 national non-facility rate (2026) · View Medicare rates for 35518 |
| Medicaid Fee Schedule | $891.40 median of the 8 states in the free preview · View Medicaid rates for 35518 |
National average reimbursement for CPT 35518 by major payers:
$1,472.29
$1,626.09
$1,672.52
$1,842.25
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CPT 35518
5 of 25 sample ratesHigher to lower in this preview
Memorialcare Surgical Center At Saddleback LLC
$3,434.00Published rateOptimum Surgical Center, LLC, Nascent Paradise Valley Surgical Center
Optimum Surgical Center LLC
$1,146.00Published rateCoral Ridge Outpatient Center LLC, Coral Ridge Outpatient Center
Coral Ridge Outpatient Center, LLC
$983.00Published ratePermian Basin Surgical Care Center, LLC, Vista Surgery Center
Permian Basin Surgical Care Center LLC
$508.00Published rateSouthwest Cardiovascular Interventional Center, LLC
Southwest Cardiovascular Interventional Center LLC
$175.00Published rate
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See a sample payer proposalCPT 35518 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35518 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 35518 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35518. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35518 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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