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See a sample rate comparisonCPT 35636 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 With Other Than, Bypass Graft With Other Than Vein Splenorenal (Splenic To Renal Arterial Anastomosis) Bypass Graft With Other Than Vein Splenorenal (Splenic To
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 62 - Co-Surgeons 51 - Multiple procedures LT - Left side of body 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,449.93 national non-facility rate (2026) · View Medicare rates for 35636 |
| Medicaid Fee Schedule | $1,195.335 median of the 8 states in the free preview · View Medicaid rates for 35636 |
National average reimbursement for CPT 35636 by major payers:
$2,250.50
$2,256.33
$2,306.45
$2,616.11
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CPT 35636
5 of 25 sample ratesHigher to lower in this preview
Basalt Orthopedic Surgery Center, LLC, Bosc
Basalt Orthopedic Surgery Center LLC
$7,969.00Published rateCrystal Run Ambulatory Surgery Center Of Middletown, LLC
$1,293.00Published rateE-Asc LLC, Beacon Evendale Surgical Center
$773.00Published rateEndoscopy Center Of St Thomas LLC, Ngs Endoscopy Center
Endoscopy Center Of St Thomas LLC
$592.00Published rateSurgery Center Of Eye Specialists Of Indiana, PC
Surgery Center Of Eye Specialists Of Indiana PC
$300.00Published rate
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See a sample payer proposalCPT 35636 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35636 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 35636 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 |
|---|---|---|
| 35633-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. |
| 35634-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. |
| 35636-CPT | High | Bypass Graft With Other Than, Bypass Graft With Other Than Vein Splenorenal (Splenic To Renal Arterial Anastomosis) Bypass Graft With Other Than Vein Splenorenal (Splenic To |
| 35637-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 35636. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35636 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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