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See a sample rate comparisonCPT 35875 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.
Blood Clot Removal, Surgery To Remove A Blood Clot That Has Developed At Or Near The Site Of A Blood Vessel Graft. The Procedure Involves Repair Of The Graft Possibly Including Replacing It.
| 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 | RT - Right side of body 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $538.42 national non-facility rate (2026) · View Medicare rates for 35875 |
| Medicaid Fee Schedule | $428.61 median of the 8 states in the free preview · View Medicaid rates for 35875 |
National average reimbursement for CPT 35875 by major payers:
$829.95
$836.09
$885.48
$958.17
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CPT 35875
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kingsland LLC, Memorial Hermann Surgery Center Kingsland
$9,182.00Published rateUniversity Orthopedics, Inc., Uoi-East Bay Surgery Center
$4,522.00Published rateDermatology Associates Of Kentucky, Psc
New Lexington Clinic, P.S.C.
$3,487.00Published rateHattiesburg Ambulatory Surgery Center Lp, South Mississippi Surgery Center
Hattiesburg Ambulatory Surgery Center Lp
$2,250.00Published rateMesa Az Endoscopy Asc LLC, Desert Endoscopy Center
The Mesa Az Endoscopy Asc, LLC
$1,154.00Published rate
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See a sample payer proposalCPT 35875 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35875 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 35875 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 |
|---|---|---|
| 35875-CPT | Moderate | Blood Clot Removal, Surgery To Remove A Blood Clot That Has Developed At Or Near The Site Of A Blood Vessel Graft. The Procedure Involves Repair Of The Graft Possibly Including Replacing It. |
| 35876-CPT | High | Blood Clot Removal, Surgery To Remove A Blood Clot That Has Developed At Or Near The Site Of A Blood Vessel Graft. The Procedure Involves Repair Of The Graft Possibly Including Replacing It. |
| 35879-CPT | High | Revision Of Blood Vessel Graft, Surgery To Replace A Previous Artery Graft With Another. The Replacement May Be A Vein Segment Biological Or Synthetic Material. |
| 35881-CPT | High | Revision Of Blood Vessel Graft, Surgery To Replace A Previous Artery Graft With Another. The Replacement May Be A Vein Segment Biological Or Synthetic Material. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35875. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35875 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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