CPT 35697 Fee Schedule
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.
| 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 | • None • 80 - Assistant surgeon • 62 - Co-Surgeons |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 35697 |
National average reimbursement for CPT 35697 by major payers:
$188.78
$209.21
$216.63
$241.44
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 35697 | ||||||
United | 35697 | $800.00 | 1033154851 - PARKWEST SURGERY CENTER LP | 621808841 - (TN) PARKWEST SURGERY CENTER LP | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $272.00 | 1487655627 - UNION PINES SURGERY CENTER,LLC | 731622427 - (OK) UNION PINES SURGERY CENTER, LLC | OK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $1200.00 | 1780218305 - THE UNIVERSITY OF TEXAS AT AUSTIN, UT HEALTH AUSTIN AMBULATORY SURGERY CENTER | 746000203 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $750.00 | 1174502561 - YANKTON MEDICAL CLINIC PC | 460363830 - (SD) YANKTON MEDICAL CLINIC, P.C. | SD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $796.00 | 1922165901 - CENTER FOR COSMETIC AND RECONSTRUCTIVE SURGERY, THE ROBERT ZUBOWSKI CENTER FOR COSMETIC AND RECONSTRUCTIVE SURGERY | 200768828 - (NJ) CENTER FOR COSMETIC AND RECONSTRUCTIVE SURGERY | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $601.00 | 1023043445 - AESTHETIC EYE ASSOCIATES, PS, ALLURE LASER CENTER & MEDISPA | 911577091 | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $910.00 | 1316317134 - SUMMER STREET ASC LLC | 474990107 - (CT) SUMMER STREET ASC LLC | CT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $1049.00 | 1154956928 - ADVANCED SURGICAL CARE OF CLEARWATER LLC | 833698204 - (FL) ADVANCED SURGICAL CARE OF CLEARWATER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $1049.00 | 1003813221 - UNIVERSITY SURGERY CENTER LTD | 742894406 - (FL) UNIVERSITY SURGERY CENTER LTD | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $493.00 | 1104877976 - VICTOR R. MICHALAK, DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC. | 911521306 | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $637.00 | 1215988308 - MIAMI HAND CENTER, LLC | 650811130 - (FL) MIAMI HAND CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $584.00 | 1104272780 - ENT OF SOUTH GEORGIA SURGERY CENTER LLC | 474050916 - (GA) ENT OF SOUTH GEORGIA SURGERY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $2700.00 | 1518149954 - NEUROLOGICAL INSTITUTE AMBULATORY SURGICAL CENTER, LLC | 141983013 - (GA) NEUROLOGICAL INSTITUTE AMBULATORY SURGICAL CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $750.00 | 1801228481 - CENTER FOR SPINE INTERVENTIONS ASC 1 LLC | 462221027 | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35697 | $973.00 | 1790066876 - CAROMONT HEALTH SERVICES, INC., CAROMONT ENDOSCOPY CENTER | 561455630 - (NC) CAROMONT HEALTH SERVICES INC | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 35697 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35697 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 35697 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 |
|---|---|---|
| 35681-CPT | Low | Bypass Graft, Composite |
| 35683-CPT | Moderate | Bypass Graft; Autogenous Composite Three Or More Segments Of Vein From Two Or More Locations (List Separately In Addition To Code For Primary Procedure) |
| 35693-CPT | High | Transposition And/Or Reimplantation; Vertebral To Subclavian Artery |
| 35697-CPT | Low | Reimplantation, Visceral Artery To Infrarenal Aortic Prosthesis, Each Artery (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 35697. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35697 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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