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See a sample rate comparisonCPT 35800 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.
Exploratory Surgery, Exploratory Surgery To Examine A Site For Possible Hemorrhage (Excessive Bleeding) Or Infection Complications Following The Initial Surgery.
| 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 | 78 - Return to OR - related procedure GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $661.34 national non-facility rate (2026) · View Medicare rates for 35800 |
| Medicaid Fee Schedule | $525.035 median of the 8 states in the free preview · View Medicaid rates for 35800 |
National average reimbursement for CPT 35800 by major payers:
$908.74
$907.96
$1,018.86
$1,121.04
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CPT 35800
5 of 25 sample ratesHigher to lower in this preview
Steamboat Surgery Center, LLC
Steamboat Surgery Center LLC
$7,600.00Published rateNorthbay Physician'S Surgery Center, L.L.C.
Northbay Physicians Surgery Center LLC
$4,474.00Published rateCleveland Clinic Florida (A Nonprofit Corporation), Cleveland Clinic Florida Coral Springs Asc
Cleveland Clinic Florida A Nonprofit Corporation
$3,801.00Published rateDay Surgery Of Grand Junction LLC, Day Surgery Of Grand Junction
Day Surgery Of Grand Junction LLC
$2,015.00Published rateDigestive Health & Endoscopy Center LLC
$680.00Published rate
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See a sample payer proposalCPT 35800 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35800 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 35800 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 |
|---|---|---|
| 35700-CPT | Moderate | Reoperation Bypass Graft, Reoperation Femoral Popliteal Or Femoral Popliteal Anterior Tibial Posterior Tibial Peroneal Artery Or Other Distal Vessels More Than 1 Month After Original Operation List Separately In Addition To Code For Primary Procedure |
| 35800-CPT | Moderate | Exploratory Surgery, Exploratory Surgery To Examine A Site For Possible Hemorrhage (Excessive Bleeding) Or Infection Complications Following The Initial Surgery. |
| 35820-CPT | High | Exploratory Surgery, Exploratory Surgery To Examine A Site For Possible Hemorrhage (Excessive Bleeding) Or Infection Complications Following The Initial Surgery. |
| 35840-CPT | High | Exploratory Surgery, Exploratory Surgery To Examine A Site For Possible Hemorrhage (Excessive Bleeding) Or Infection Complications Following The Initial Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35800 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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