CPT 35879 Fee Schedule
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.
| 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 • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 35879 |
National average reimbursement for CPT 35879 by major payers:
$1,294.13
$1,298.81
$1,363.11
$1,513.89
| 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 35879 | ||||||
United | 35879 | $1692.00 | 1124443809 - POOLE ENDOSCOPY CENTER, LLC | 521831316 | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $4689.00 | 1689814998 - PUGET SOUND SURGICAL CLINIC INC | 911687859 - (WA) PUGET SOUND SURGICAL CENTER LLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $4956.00 | 1962879932 - GUILFORD SURGERY CENTER LLC | 473071064 - (CT) GUILFORD SURGERY CENTER | CT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $8220.00 | 1619974219 - ST. JOSEPH'S SURGERY CENTER LP | 201019390 - (CA) ST JOSEPHS SURGERY CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $7655.00 | 1487610390 - SURGERY CENTER OF FAIRFIELD COUNTY LLC, HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC | 201733152 - (CT) SURGERY CENTER OF FAIRFIELD COUNTY LLC | CT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $2369.00 | 1326136177 - TEANECK GASTROENTEROLOGY&ENDOSCOPY CENTER | 223348806 - (NJ) TEANECK GASTROENTEROLOGYENDOSCOPY CENTER | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $2950.00 | 1508862624 - NOVAMED SURGERY CENTER OF DENVER LLC, CHERRY HILLS SURGERY CENTER | 841672152 - (CO) NOVAMED SURGERY CENTER OF DENVER LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $1456.00 | 1265624696 - CENTRAL OHIO UROLOGY SURGERY CENTER, LLC | 261240704 - (OH) CENTRAL OHIO UROLOGY SURGERY CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $856.00 | 1225199482 - ST MARKS SURGICAL CENTER LLC | 364577700 - (FL) ST MARKS SURGICAL CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $7602.00 | 1669111274 - KENOSHA SURGICENTER LLC | 854072921 - (WI) KENOSHA SURGICENTER LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $1742.00 | 1518916758 - MOUNTAIN LAUREL SURGERY CENTER L.L.C. | 753187461 - (PA) MOUNTAIN LAUREL SURGERY CENTER, LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $4823.00 | 1376164475 - ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP, RIDGEWOOD ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO | 742976746 - (TX) ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $2930.00 | 1174067318 - SKI AMBULATORY SURGICAL CENTERS, LLC | 813831008 - (AZ) SKI AMBULATORY SURGICAL CENTERS LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $788.00 | 1366710741 - THE EYE PHYSICIANS OF PINELLAS, PA, LARGO AMBULATORY SURGERY CENTER | 593400241 - (FL) THE EYE PHYSICIANS OF PINELLAS, P.A. | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35879 | $4642.00 | 1699742676 - PARKWAY SURGERY CENTER, LTD | 364581088 | OH | 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 35879 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35879 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 35879 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 Composite Two Segments Of Veins From Two Locations (List Separately In Addition To Code For Primary Procedure) |
| 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) |
| 35875-CPT | Moderate | Thrombectomy/Repair Of Arterialor Venou |
| 35879-CPT | High | Revision, Lower Extremity Arterial Bypass, Without Thrombectomy, Open; With Vein Patch Angioplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35879. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35879 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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