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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 | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,634.64 national non-facility rate (2026) · View Medicare rates for 35526 |
| Medicaid Fee Schedule | $1,278.465 median of the 8 states in the free preview · View Medicaid rates for 35526 |
National average reimbursement for CPT 35526 by major payers:

$2,454.21

$2,389.13

$2,469.16

$2,818.39
Choose a payer to see a sample of rates for CPT 35526.
Memorial Hermann Surgery Center Katy LLP
Surgery Center Of Easton Lp, Healthsouth Surgery Center Of Easton, L.P.
Surgery Center Of Easton Lp
Valley Eye Institute Asc LLC, Cvp Surgery Center
Valley Eye Institute Asc LLC
Crescent View Surgery Center, LLC
Texas Regional Eye Center Asc LLC, Texas Regional Eye Center Asc LLC
Texas Regional Eye Center Asc LLC
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 35526 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35526 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 35526 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 |
|---|---|---|
| 35526-CPT | High | Bypass Grft W/ Vein; Aortosubclavian Aortoinnominat Or Aortocar, Bypass Graft With Vein; Aortosubclavian Aortoinnominate Or Aortocar |
| 35531-CPT | High | Bypass Graft With Vein Aorto, Bypass Graft With Vein Aortoceliac Or Aortomesentericbypass Graft With Vein Aortoceliac Or Aortomesenteric |
| 35537-CPT | High | Aortoiliac |
| 35600-CPT | Moderate | Harvest Of Upper Extremity Art, Harvest Of Upper Extremity Artery One Segment For Coronary Artery Bypass Procedure (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35526. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35526 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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