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CPT 35522 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; Axillary-Brachial
Key FactDetail
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

RT - Right side of body

Complexity LevelHigh
Medicare Fee Schedule$1,064.49 national non-facility rate (2026) · View Medicare rates for 35522
Medicaid Fee Schedule$824.24 median of the 8 states in the free preview · View Medicaid rates for 35522

National average reimbursement for CPT 35522 by major payers:

bcbs

$1,576.57

uhc

$1,694.32

aetna

$1,712.87

cigna

$1,902.73

Compare published rates across providers.

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CPT 35522
5 of 25 sample ratesHigher to lower in this preview
  1. Baptist Health Surgery Center, LLC, Baptist Health Surgery Center At Plantation

    Baptist Health Surgery Center LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1437764321Tax ID 65-0663357

    $1,954.00Published rate
  2. Az West Endoscopy Center LLC

    AZAmbulatory Surgical Clinic/CenterNPI 1790093813Tax ID 27-2343469

    $1,049.00Published rate
  3. Dakota Gastroenterology, Ltd

    Dakota Gastroenterology Ltd.

    NDAmbulatory Surgical Clinic/CenterNPI 1215455217Tax ID 38-3908818

    $681.00Published rate
  4. Decatur Surgery Center Lp

    ALAmbulatory Surgical Clinic/CenterNPI 1386782787Tax ID 63-1066878

    $499.00Published rate
  5. Laser Surgery Holding Company, Ltd

    Laser Surgery Holding Company Lt

    AZAmbulatory Surgical Clinic/CenterNPI 1851531248Tax ID 55-0882748

    $110.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 35522 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 35522 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 35522 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.

CodeComplexityDescription
35518-CPTHighBypass Gft,W/Vein;Axillary-Axillary
35521-CPTHighBypass Graft W Vein; Axillary-Femoral
35522-CPTHighBypass Graft, With Vein; Axillary-Brachial
35606-CPTHighArtery 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 35522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 35522 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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