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See a sample rate comparisonCPT 35536 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; Splenorenal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 78 - Return to OR - related procedure LT - Left side of body 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | $1,535.44 national non-facility rate (2026) · View Medicare rates for 35536 |
| Medicaid Fee Schedule | $1,317.39 median of the 8 states in the free preview · View Medicaid rates for 35536 |
National average reimbursement for CPT 35536 by major payers:
$2,461.10
$2,399.49
$2,441.60
$2,783.45
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CPT 35536
5 of 25 sample ratesHigher to lower in this preview
Greenville Surgery Center, LLC, Texas Health Surgery Center Dallas
Greenville Surgery Center LLC
$6,068.00Published ratePoint Of Rocks Surgery Center, LLC
$1,064.00Published rateAshland Surgery Center
Ashland Surgery Center Inc
$766.00Published rateLagreca Eye Clinic PC, The Eye Clinic Surgicenter Lagreca Eye Clinic
Lagreca Eye Clinic, PC
$600.00Published rateIsland Eye Surgicenter LLC
$160.00Published rate
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See a sample payer proposalCPT 35536 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35536 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 35536 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 |
|---|---|---|
| 35535-CPT | High | Hepatorenal |
| 35536-CPT | High | Bypass Graft W Vein; Splenorenal |
| 35560-CPT | High | Bypass Graft W Vein; Aortorenal |
| 35566-CPT | High | Bypass Graft With Vein Femor, Bypass Graft With Vein Femoral-Anterior Tibial Posterior Tibial Peroneal Artery Or Other Distal Vessels Bypass Graft With Vein Femoral-Anteriortibial Posterior |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35536. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35536 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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