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See a sample rate comparisonCPT 35686 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.
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)
| 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 | GC - Service performed by resident under supervision RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $145.29 national non-facility rate (2026) · View Medicare rates for 35686 |
| Medicaid Fee Schedule | $113.95 median of the 8 states in the free preview · View Medicaid rates for 35686 |
National average reimbursement for CPT 35686 by major payers:
$256.98
$229.75
$235.91
$259.99
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CPT 35686
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$6,623.00Published rateSurgcenter Of Silver Spring, LLC
Surgcenter Of Silver Spring LLC
$555.00Published rateTampa Bay Surgery Center Associates, Ltd.
Tampa Bay Surgery Center Assoc
$300.00Published rateMidlantic Urology Surgery Center, LLC
Midlantic Urology Surgery Center LLC
$117.00Published rateRac Surgery Center LLC
$79.00Published rate
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See a sample payer proposalCPT 35686 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35686 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 35686 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 |
|---|---|---|
| 35626-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. |
| 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. |
| 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35686. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35686 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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