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See a sample rate comparisonCPT 35537 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.
Aortoiliac
| 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 | 59 - Distinct Procedural Service LT - Left side of body 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,891.83 national non-facility rate (2026) · View Medicare rates for 35537 |
| Medicaid Fee Schedule | $1,459.845 median of the 8 states in the free preview · View Medicaid rates for 35537 |
National average reimbursement for CPT 35537 by major payers:
$2,625.64
$2,964.41
$3,039.32
$3,374.74
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CPT 35537
5 of 25 sample ratesHigher to lower in this preview
Upnt Surgery LLC
$6,068.00Published rateEye Surgery Center, Loren Barrus & Paul Schultz Ptrs
Eye Surgery Center
$811.00Published rateGulf Coast Endoscopy Center Of Venice LLC
Gulf Coast Endoscopy Center Of
$484.00Published rateCenter For Digestive Care LLC
$430.00Published ratePinnacle Cataract And Laser Institute LLC
$283.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 35537 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35537 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 35537 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 |
|---|---|---|
| 35361-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. |
| 35363-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. |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35537. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35537 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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