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See a sample rate comparisonCPT 35531 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 Aorto, Bypass Graft With Vein Aortoceliac Or Aortomesentericbypass Graft With Vein Aortoceliac Or Aortomesenteric
| 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 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,770.25 national non-facility rate (2026) · View Medicare rates for 35531 |
| Medicaid Fee Schedule | $1,366.18 median of the 8 states in the free preview · View Medicaid rates for 35531 |
National average reimbursement for CPT 35531 by major payers:
$2,547.51
$2,771.53
$2,846.84
$3,136.02
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CPT 35531
5 of 25 sample ratesHigher to lower in this preview
Austin Gi Surgicenter, LLC, Austin Endoscopy Center
Austin Gi Surgicenter LLC
$2,705.00Published rateMount Pleasant Outpatient Surgery Center LLC
$1,128.00Published rateSouth Meadows Endoscopy Center, LLC
South Meadows Endoscopy Center LLC
$776.02Published rateCumberland Valley Surgery Center, LLC
Cumberland Valley Surgery Center LLC
$500.00Published rateAnderson Endoscopy Center LLC
$99.00Published rate
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See a sample payer proposalCPT 35531 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35531 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 35531 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 |
|---|---|---|
| 35341-CPT | High | Surgery For Blocked Artery, Surgery To Remove Plaque Or Clots From One Or More Arteries. The Procedure May Include Repairing A Damaged Blood Vessel With A Patch (Graft) From Another Blood Vessel. |
| 35390-CPT | Moderate | Reoperation Carotid Thromboe, Reoperation Carotid Thromboendarterectomy More Than Onemonth After Original Operation (List Separately In Addition To Code For Primary Procedure) |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35531. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35531 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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