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CPT 35656 Fee Schedule

Last Verified: March 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 Besides Vein; Femoral-Popli
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Cardiovascular System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 35656

National average reimbursement for CPT 35656 by major payers:

bcbs

$1,469.42

uhc

$1,523.95

aetna

$1,617.87

cigna

$1,775.54

Preview provider-level rates for...
For billing codeCPT 35656
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 35656

United
35656$275.001114312659 - UNITED SHOCKWAVE SERVICES, LTD., UNITED THERAPIES363415474TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$983.001871751859 - WESTMINSTER SURGERY CENTER262059600 - (MD) WESTMINSTER SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$150.001053417402 - KEYSTONE KIDNEY ASSOCIATES, PC232470181 - (PA) KEYSTONE KIDNEY ASSOCIATES PCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$500.001194341768 - WELLINGTON SPECIALTY SURGERY CENTER, LLC844962361 - (OH) WELLINGTON SPECIALTY SURGERY CENTEROHAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$2732.001851354377 - MANATEE SURGICARE LTD752367622 - (FL) MANATEE SURGICARE LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$773.001366643751 - SPECIALTY SURGICAL CENTER OF THOUSAND OAKS, L.P.205991988 - (CA) SPECIALTY SURGICAL CENTER OF THOUSAND OAKS, LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$1230.001861059818 - FISHERS SPECIALTY SURGERY CENTER, LLC, ORTHOALLIANCE OF INDIANA833241405 - (IN) FISHERS SPECIALTY SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$950.001780871319 - SURGICAL SPECIALISTS ASC, LLC208066886 - (FL) SURGICAL SPECIALISTS ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$850.001255797726 - BLOOMFIELD ASC LLC474758895 - (CT) BLOOMFIELD ASC, LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$426.001962609560 - FRONT RANGE ENDOSCOPY CENTERS, LLC205008349 - (CO) FRONT RANGE ENDOSCOPY CENTERS LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$429.001942318498 - DIGESTIVE DISEASE CENTER880291959NVAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$2732.001700546629 - STONE OAK SURGICENTER, LLC873925488TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$994.261184897472 - LAKE COUNTRY ENDOSCOPY CENTER, LLC261572986 - (WI) LAKE COUNTRY ENDOSCOPY CENTER LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$500.001003842626 - AMBULATORY CENTER FOR ENDOSCOPY, LLC200064962NJAmbulatory Surgical Clinic/Center (261QA1903X)
United
35656$550.001922248517 - AIDEN CENTER FOR DAY SURGERY LLC800161881 - (IL) AIDEN CENTER FOR DAY SURGERY LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 35656 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 35656 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 35656 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.

CodeComplexityDescription
35621-CPTHighBypass Gft,Not Vein;Axill-Femoral
35634-CPTHighIliorenal
35645-CPTHighBypass Gft,Not Vein;Subcl-Vertebral
35656-CPTHighBypass Graft Besides Vein; Femoral-Popli

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35656. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 35656 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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