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See a sample rate comparisonCPT 35560 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; Aortorenal
| 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 22 - Increased Procedural Services 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $1,549.13 national non-facility rate (2026) · View Medicare rates for 35560 |
| Medicaid Fee Schedule | $1,328.75 median of the 8 states in the free preview · View Medicaid rates for 35560 |
National average reimbursement for CPT 35560 by major payers:
$2,512.83
$2,418.64
$2,460.17
$2,737.93
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CPT 35560
5 of 25 sample ratesHigher to lower in this preview
Lubbock County Hospital District, University Medical Center
Lubbock County Hospital District
$3,552.00Published rateNorthwest Ambulatory Surgery Services, LLC, Bellingham Ambulatory Surgery Center
Northwest Ambulatory Surgery Services, LLC
$1,339.00Published rateRegency Surgery Center, LLC
Regency Surgery Center LLC
$744.00Published rateMedical Eye Associates, Inc.
$400.00Published rateScottsdale Eye Institute, Plc, Scottsdale Eye Institute, Plc
Scottsdale Eye Institute Plc
$110.00Published rate
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See a sample payer proposalCPT 35560 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35560 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 35560 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 35560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35560 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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