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See a sample rate comparisonCPT 35694 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $901.16 national non-facility rate (2026) · View Medicare rates for 35694 |
| Medicaid Fee Schedule | $697.095 median of the 8 states in the free preview · View Medicaid rates for 35694 |
National average reimbursement for CPT 35694 by major payers:
$1,376.09
$1,410.53
$1,460.68
$1,601.23
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CPT 35694
5 of 25 sample ratesHigher to lower in this preview
Ann & Robert H. Lurie Children'S Hospital Of Chicago, Lurie Children'S Surgery Center In Northbrook
Ann & Robert H Lurie Childrens Hospital Of Chicago
$8,891.00Published rateGcsa Ambulatory Surgery Center, LLC, Gastroenterology Consultants Of San Antonio - Stone Oak
Gcsa Ambulatory Surgery Center LLC
$1,274.00Published rateMnh Gi Surgical Center LLC, Mnh Surgical Center
$1,049.00Published rateTampa Bay Eye Surgery Center, LLC
Tampa Bay Eye Surgery Center LLC
$580.00Published rateDoctors Surgery Center LLC
$300.00Published rate
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See a sample payer proposalCPT 35694 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35694 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 35694 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 |
|---|---|---|
| 35693-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. |
| 35694-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. |
| 35695-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. |
| 35701-CPT | Moderate | Exploration (Not Followed By S, Exploration (Not Followed By Surgical Repair) With Orwithout Lysis Of Artery Carotid Artery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35694. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35694 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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