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See a sample rate comparisonHealthcare 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.
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $178.70 national non-facility rate (2026) · View Medicare rates for 35685 |
| Medicaid Fee Schedule | $138.865 median of the 8 states in the free preview · View Medicaid rates for 35685 |
National average reimbursement for CPT 35685 by major payers:

$304.29

$281.25

$294.75

$319.06
Choose a payer to see a sample of rates for CPT 35685.
Ambulatory Surgical Pavilion At Robert Wood Johnson LLC
Denton Regional Ambulatory Surgery Center, L.P., Medical City Surgery Center/Denton
Denton Regional Ambulatory Surgery Center Lp
Baptist Surgery And Endoscopy Centers, LLC, Baptist Health Endoscopy Center At Miami Beach
Psa Ambulatory Surgery Center Of Killeen LLC
Eyecare Consultants Surgery Center, LLC, Eyecare Consultants Surgery Center
Eyecare Consultants Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 35685 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35685 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 35685 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 |
|---|---|---|
| 35683-CPT | Moderate | Bypass Graft Autogenous Compo, Bypass Graft Autogenous Composite Three Or More Segmentsof Vein From Two Or More Locations (List Separately In Addition To Code For Primary Procedure) |
| 35685-CPT | Moderate | Bypass Graft Patency/Patch, Placement Of Vein Patch Or Cuff At Distal Anastomosis Of Bypass Graft Synthetic Conduit (List Separately In Addition To Code For Primary Procedure) |
| 35686-CPT | Moderate | Bypass Graft/Av Fist Patency, Creation Of Distal Arteriovenous Fistula During Lower Extremity Bypass Surgery (Non-Hemodialysis) (List Separately In Addition To Code For Primary Procedure) |
| 35691-CPT | High | Surgery To Move Blood Vessel, Surgery To Move A Blood Vessel To Another Position In The Neck Upper Back Or Chest. The Procedure Is Done To Compensate For An Injury That Affects How Well Blood Flows. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35685. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35685 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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