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See a sample rate comparisonHealthcare 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $841.04 national non-facility rate (2026) · View Medicare rates for 35879 |
| Medicaid Fee Schedule | $652.075 median of the 8 states in the free preview · View Medicaid rates for 35879 |
National average reimbursement for CPT 35879 by major payers:

$1,294.13

$1,298.81

$1,363.11

$1,481.59
Choose a payer to see a sample of rates for CPT 35879.
Surgicare Of St Andrews Ltd
Treasure Coast Asc, LLC, Treasure Coast Center For Surgery
Parkway Surgery Center, Ltd
Mountain Laurel Surgery Center L.L.C.
Mountain Laurel Surgery Center, LLC
The Eye Physicians Of Pinellas, PA, Largo Ambulatory Surgery Center
The Eye Physicians Of Pinellas, P.A.
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 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 Compo, Bypass Graft Autogenous Composite Two Segments Of Veinsfrom Two Locations (List Separately In Addition To Code For Primary Procedure) |
| 35683-CPT | Moderate | Bypass Graft Autogenous Compo, Bypass Graft Autogenous Composite Three Or More Segmentsof Vein From Two Or More Locations (List Separately In Addition To Code For Primary Procedure) |
| 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. |
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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