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See a sample rate comparisonCPT 35540 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.
Art Byp Grft Aortbifemoral, Bypass Of Diseased Or Blocked Artery (Aorta To Upper Leg And Opposite Upper Leg Artery) With Vein
| 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 | 80 - Assistant surgeon 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $2,216.48 national non-facility rate (2026) · View Medicare rates for 35540 |
| Medicaid Fee Schedule | $1,709.515 median of the 8 states in the free preview · View Medicaid rates for 35540 |
National average reimbursement for CPT 35540 by major payers:
$3,189.57
$3,457.21
$3,539.64
$3,934.88
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CPT 35540
5 of 25 sample ratesHigher to lower in this preview
Summit Surgery Center Lp
$2,732.00Published rateBanner Sun City West Surgery Center LLC
$1,124.00Published rateSurgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Scottsdale
Surgery Center Of Scottsdale LLC
$983.00Published rateNovamed Surgery Center Of Tyler, Lp, Cataract Center Of East Texas
Novamed Surgery Center Of Tyler Lp
$390.00Published rateArizona Endoscopy Center, LLC
Arizona Endoscopy Center LLC
$109.00Published rate
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See a sample payer proposalCPT 35540 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35540 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 35540 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35540 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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