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See a sample rate comparisonCPT 35612 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.
Artery Bypass With Graft, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Artery Using A Synthetic Material (Graft) To Replace The Diseased Artery.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | RT - Right side of body 59 - Distinct Procedural Service 62 - Co-Surgeons 51 - Multiple procedures 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $953.26 national non-facility rate (2026) · View Medicare rates for 35612 |
| Medicaid Fee Schedule | $753.09 median of the 8 states in the free preview · View Medicaid rates for 35612 |
National average reimbursement for CPT 35612 by major payers:
$1,311.27
$1,422.16
$1,481.48
$1,645.05
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CPT 35612
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$4,893.00Published rateUoi East Bay Surgery Center LLC
$1,141.00Published ratePain & Spine Physicians Surgery Center LLC
Pain Spine Physicians Surgery Center LLC
$798.00Published rateOphthalmic Outpatient Surgery Center Partners, LLC, Outpatient Surgery Center For Sight
Ophthalmic Outpatient Surgery Center Partners LLC
$434.00Published rateSki Ambulatory Surgical Centers, LLC
Ski Ambulatory Surgical Centers LLC
$245.00Published rate
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See a sample payer proposalCPT 35612 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35612 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 35612 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 |
|---|---|---|
| 35511-CPT | High | Bypass Graft W Vein; Subclavian-Subclavi |
| 35512-CPT | High | Bypass Graft, With Vein; Subclavian-Brachial |
| 35515-CPT | High | Bypass Gft,W/Vein;Subclav-Vertebral |
| 35612-CPT | High | Artery Bypass With Graft, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Artery Using A Synthetic Material (Graft) To Replace The Diseased Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35612 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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