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See a sample rate comparisonCPT 35556 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; Femoral-Popliteal
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,261.89 national non-facility rate (2026) · View Medicare rates for 35556 |
| Medicaid Fee Schedule | $977.005 median of the 8 states in the free preview · View Medicaid rates for 35556 |
National average reimbursement for CPT 35556 by major payers:
$1,865.26
$1,943.46
$2,072.84
$2,222.55
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CPT 35556
5 of 25 sample ratesHigher to lower in this preview
Peak One Surgery Center, LLC, Peak One Surgery Center
Peak One Surgery Center LLC
$9,210.00Published rateWindsor Mill Surgery Center, LLC
Windsor Mill Surgery Center LLC
$1,049.00Published rateCorona Surgical LLC, Corona Summit Surgical Center
Corona Surgical LLC
$702.00Published rateIdaho Eye Center PA, Idaho Eye Surgicenter
Idaho Eye Center, P.A.
$544.00Published rateScottsdale Eye Surgery Center, P.C
Scottsdale Eye Surgery Center
$104.00Published rate
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See a sample payer proposalCPT 35556 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35556 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 35556 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 |
|---|---|---|
| 35556-CPT | High | Bypass Graft W Vein; Femoral-Popliteal |
| 35558-CPT | High | Bypass Gft,W/Vein;Femoral-Femoral |
| 35583-CPT | High | Artery Bypass Using Vein Graft, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Artery In The Leg Using Leg Veins (Graft) To Replace The Damaged Artery. |
| 35585-CPT | High | Vein Byp Fem-Tibial Peroneal, Bypass Of Diseased Or Blocked Artery By Insertion Of Vein Graft From Artery Of Thigh To Artery Of Lower Leg (Femoral-Anterior Tibial Posterior Tibial Or Peroneal Artery Bypass) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35556. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35556 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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