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See a sample rate comparisonCPT 35840 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.
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 | High |
| Medicare Fee Schedule | $1,123.27 national non-facility rate (2026) · View Medicare rates for 35840 |
| Medicaid Fee Schedule | $872.02 median of the 8 states in the free preview · View Medicaid rates for 35840 |
National average reimbursement for CPT 35840 by major payers:
$1,403.73
$1,450.84
$1,646.26
$1,795.66
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CPT 35840
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
$8,083.00Published rateSurgery Center Of Pembroke Pines, LLC
Surgery Center Of Pembroke
$1,028.00Published rateSequoia Surgery Center, LLC, Cypress Surgery Center, A Limited Partnership
Sequoia Surgery Center, LLC
$820.00Published rateLippy Surgery Center LLC
$537.00Published rateTyler Asc, Lp, Tyler Cardiac & Endovascular Surgery Center
$200.00Published rate
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See a sample payer proposalCPT 35840 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35840 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 35840 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 |
|---|---|---|
| 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. |
| 35860-CPT | Moderate | 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 35840. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35840 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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