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See a sample rate comparisonCPT 35563 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; Ilioiliac
| 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 22 - Increased Procedural Services 51 - Multiple procedures 50 - Bilateral Procedure LT - Left side of body 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,204.44 national non-facility rate (2026) · View Medicare rates for 35563 |
| Medicaid Fee Schedule | $930.95 median of the 8 states in the free preview · View Medicaid rates for 35563 |
National average reimbursement for CPT 35563 by major payers:
$1,788.46
$1,888.29
$1,926.33
$2,136.62
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CPT 35563
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$16,236.00Published rateAdvanced Surgery Center Of Central Iowa, LLC
Advanced Surgery Center Of Central Iowa LLC
$1,134.00Published rateCardiac And Vascular Institute Ambulatory Surgery Center, LLC
Cardiac And Vascular Institute Ambulatory Surgery Center LLC
$573.00Published rateToledo Endoscopy Asc LLC, Northwest Ohio Endoscopy Center
Toledo Endoscopy Asc LLC
$482.00Published rateDigestive Health Specialists Endoscopy Center Arizona, LLC
Digestive Health Specialists Endoscopy Center Arizona LLC
$107.00Published rate
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See a sample payer proposalCPT 35563 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35563 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 35563 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 35563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35563 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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