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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,340.71 national non-facility rate (2026) · View Medicare rates for 35570 |
| Medicaid Fee Schedule | $1,035.765 median of the 8 states in the free preview · View Medicaid rates for 35570 |
National average reimbursement for CPT 35570 by major payers:

$2,083.43

$2,096.21

$2,118.41

$2,386.05
Choose a payer to see a sample of rates for CPT 35570.
Grove City Medical Center
Alaska Digestive Center, LLC
Alaska Digestive Center LLC
E-Asc LLC, Beacon Evendale Surgical Center
Mid-Michigan Endoscopy Center, PLLC, Charter Endoscopy Center
Mid Michigan Endoscopy Center
Willow Springs Surgery Center, Ltd, Forest Med-Surg Center
Willow Springs Surgery Center Ltd
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 35570 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35570 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 35570 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 |
|---|---|---|
| 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 |
| 35571-CPT | High | Bypass Graft With Vein Popli, Bypass Graft With Vein Popliteal-Tibial -Peroneal Artery Or Other Distal Vessels Bypass Graft With Vein Popliteal-Tibial -Peroneal Artery |
| 35587-CPT | High | Vein Byp Pop-Tibl Peroneal, Bypass Of Diseased Or Blocked Artery By Insertion Of Vein Graft From Artery Of Knee To Artery Of Lower Leg (Popliteal-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 35570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35570 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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