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See a sample rate comparisonCPT 35565 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; Iliofemoral
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,161.35 national non-facility rate (2026) · View Medicare rates for 35565 |
| Medicaid Fee Schedule | $922.44 median of the 8 states in the free preview · View Medicaid rates for 35565 |
National average reimbursement for CPT 35565 by major payers:
$1,754.63
$1,841.81
$1,895.07
$2,148.67
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CPT 35565
5 of 25 sample ratesHigher to lower in this preview
Mercy Catholic Medical Center Of Southeastern PA, Mercy Philadelphia Hospital Short Procedure Unit
Mercy Catholic Medical Center Of Southeastern PA
$3,598.00Published ratePacific Endo-Surgical Center Lp
Pacific Endosurgical Center Lp
$1,274.00Published rateDanville Polyclinic, Ltd, Danville Polyclinic Ltd Astc
Danville Polyclinic, Ltd.
$737.00Published rateSouthwestern Oklahoma Surgical Associates, LLC
Southwestern Oklahoma Surgical Associates LLC
$445.00Published rateValley Outpatient Surgical Center Inc
$100.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 35565 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35565 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 35565 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 |
|---|---|---|
| 35563-CPT | High | Bypass Graft, W/Vein; Ilioiliac |
| 35565-CPT | High | Bypass Graft W Vein; Iliofemoral |
| 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 |
| 35570-CPT | High | Bypass Grft W/ Vein; Tibial-Tibial Peroneal-Tibial Or Tibial/Per, Bypass Graft With Vein; Tibial-Tibial Peroneal-Tibial Or Tibial/Per |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35565 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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