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See a sample rate comparisonCPT 35681 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Multiple Bypass Grafts, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Blood Vessel Using A Conduit Made Of A Vein And Artificial Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 99 - Other POS |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $71.81 national non-facility rate (2026) · View Medicare rates for 35681 |
| Medicaid Fee Schedule | $55.385 median of the 8 states in the free preview · View Medicaid rates for 35681 |
National average reimbursement for CPT 35681 by major payers:
$111.60
$120.75
$122.81
$137.79
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CPT 35681
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Surgery Center LLC
$5,213.00Published rateCentral Maine Eye Surgery Center LLC
$1,064.00Published ratePegasus Surgery Center LLC, Pegasus Surgery Center, LLC
Pegasus Surgery Center LLC
$822.00Published rateMorganton Eye Physicians, P.A., Surgery Center Of Morganton Eye Physicians
Morganton Eye Physicians, P.A.
$600.00Published rateLeo R. Mccafferty, M.D., Surgical Center
$200.00Published rate
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See a sample payer proposalCPT 35681 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35681 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 35681 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 |
|---|---|---|
| 35621-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. |
| 35642-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. |
| 35663-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. |
| 35681-CPT | Low | Multiple Bypass Grafts, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Blood Vessel Using A Conduit Made Of A Vein And Artificial Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35681. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35681 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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