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See a sample rate comparisonCPT 35876 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.
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 | 78 - Return to OR - related procedure RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $856.40 national non-facility rate (2026) · View Medicare rates for 35876 |
| Medicaid Fee Schedule | $665.01 median of the 8 states in the free preview · View Medicaid rates for 35876 |
National average reimbursement for CPT 35876 by major payers:
$1,316.72
$1,329.91
$1,400.54
$1,516.57
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CPT 35876
5 of 25 sample ratesHigher to lower in this preview
Florida Orthopaedic Institute Surgery Center, LLC, Florida Orthopaedic Institute Surgery Center-Citrus Park
Florida Orthopaedic Institute Surgery Center LLC
$7,888.00Published rateAndrews Institute Asc LLC
Andrews Institute Asc, LLC
$5,595.00Published ratePivac Asc LLC
$3,580.00Published rateTemecula Valley Day Surgery & Pain Therapy Center, Inc.
Temecula Valley Day Surgery Pain Therapy Center Inc
$2,101.00Published rateEye Physicians Of Sussex County, Eye Physicians Of Sussex County Surgical Suite
Eye Physicians Of Sussex County
$877.00Published rate
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See a sample payer proposalCPT 35876 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35876 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 35876 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 |
|---|---|---|
| 35682-CPT | Moderate | Bypass Graft Autogenous Compo, Bypass Graft Autogenous Composite Two Segments Of Veinsfrom Two Locations (List Separately In Addition To Code For Primary Procedure) |
| 35703-CPT | Moderate | Expl N Flwd Surg Lxtr Art, Exploration Not Followed By Surgical Repair Artery Lower Extremity Eg Common Femoral Deep Femoral Superficial Femoral Popliteal Tibial Peroneal |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35876. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35876 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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