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See a sample rate comparisonCPT 35881 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.
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.
| 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 | $934.56 national non-facility rate (2026) · View Medicare rates for 35881 |
| Medicaid Fee Schedule | $725.145 median of the 8 states in the free preview · View Medicaid rates for 35881 |
National average reimbursement for CPT 35881 by major payers:
$1,433.49
$1,437.80
$1,494.47
$1,644.92
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CPT 35881
5 of 25 sample ratesHigher to lower in this preview
Spalding Triangle Surgery Center, LLC, Spalding Triangle Surgery Center
Spalding Triangle Surgery Center LLC
$9,978.00Published rateTucson Digestive Institute LLC, Arizona Digestive Institute
$6,087.00Published rateClearway Surgery Center Of National Harbor LLC
Harborside Surgery Center
$3,515.00Published rateMiddleburg Surgery Center LLC
$2,500.00Published rateJ J Young Md, The Cataract Center Of Lawton
J J Young Md
$1,000.00Published rate
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See a sample payer proposalCPT 35881 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35881 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 35881 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. |
| 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. |
| 35883-CPT | High | Revj Fem Anast Nonautog Grf, Revision Femoral Anastomosis Of Synthetic Arterial Bypass Graft In Groin Open With Nonautogenous Patch Graft Eg Polyester Eptfe Bovine Pericardium |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35881. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35881 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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