CPT 35585 Fee Schedule
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.
| 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 | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 35585 |
National average reimbursement for CPT 35585 by major payers:
$2,362.36
$2,345.90
$2,458.55
$2,736.62
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 35585 | ||||||
United | 35585 | $2787.00 | 1710931860 - GRASS VALLEY SURGERY CENTER, LLC | 272185264 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $1274.00 | 1629386784 - ODESSA ENDOSCOPY CENTER LLC | 273305505 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $350.00 | 1619981479 - FOOT AND ANKLE SURGERY FACILITY, LTD, REGENERATIVE SURGERY CENTER | 363853850 - (IL) FOOT AND ANKLE SURGERY FACILITY LTD | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $2355.00 | 1154460525 - VIRGINIA MASON MEDICAL CENTER, VIRGINIA MASON LYNNWOOD ASC | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $700.00 | 1902078207 - PLAINFIELD SURGERY CENTER, LLC | 300391104 - (IL) PLAINFIELD SURGERY CENTER LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $458.00 | 1023343720 - HATTIESBURG SURGERY CENTER, LLC | 263789784 - (MS) HATTIESBURG SURGERY CENTER LLC | MS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $1064.00 | 1851396014 - ARC WORCESTER CENTER, L.P. | 621772057 - (MA) ARC WORCESTER CENTER LP | MA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $874.00 | 1235393356 - PHYSICIANS OUTPATIENT SURGERY CENTER LLC | 352325646 - (FL) PHYSICIANS OUTPATIENT SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $400.00 | 1801220983 - THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC | 461416301 - (AZ) THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $469.00 | 1972556942 - CHERRY HILL WOMEN'S CENTER, INC. | 232068660 - (NJ) CHERRY HILL WOMENS CENTER INC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $650.00 | 1386003390 - RIVERWALK SURGERY CENTER, LLC, PRECISION SURGERY CENTER | 810782143 - (CA) RIVERWALK SURGERY CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $122.00 | 1699711556 - ESCNC LLC, EYE SURGERY CENTER OF NORTHERN CALIFORNIA | 462800751 - (CA) ESCNC LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $430.00 | 1255510525 - EYE SURGERY CENTER OF MICHIGAN LLC | 205795977 - (MI) EYE SURGERY CENTER OF MICHIGAN | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $390.00 | 1396266441 - EYE SURGERY CENTER OF EAST TEXAS LLC | 811881035 - (TX) EYE SURGERY CENTER OF EAST TEXAS LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35585 | $1274.00 | 1366416125 - TEXAS ORTHOPEDICS SURGERY CENTER, LLC, TEXAS ORTHOPEDICS SURGERY CENTER LIMITED PARTNERSHIP, LL | 743013713 - (TX) TEXAS ORTHOPEDICS SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 35585 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35585 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 35585 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 |
| 35572-CPT | Moderate | Harvest Of Femoropopliteal Vein, 1 Segment, For Vascular Reconstruction Procedure (Eg, Aortic, Vena Caval, Coronary, Peripheral Artery) (List Separately In Addition To Code For Primary Procedure) |
| 35585-CPT | High | In-S.Vein Bypss;Fem-Ant/Pos.Tib,Per |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35585. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35585 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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