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See a sample rate comparisonCPT 35901 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.
Excision Of Infected Graft; Neck
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $438.89 national non-facility rate (2026) · View Medicare rates for 35901 |
| Medicaid Fee Schedule | $377.56 median of the 8 states in the free preview · View Medicaid rates for 35901 |
National average reimbursement for CPT 35901 by major payers:
$677.86
$679.38
$694.91
$783.78
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CPT 35901
5 of 25 sample ratesHigher to lower in this preview
Denton Surgery Center LLC, Texas Health Surgery Center Denton
Denton Surgery Center, LLC Dba Texas Health Surgery Center Denton
$6,068.00Published rateMclean Tysons Orthopedic Surgery Center, LLC
$1,900.00Published rateBsc 3 LLC, Banner Surgery Center - Sports Medicine
Bsc 3 LLC
$1,146.00Published rateRiverview Surgical Center LLC
Riverview Surgical Center, LLC
$631.00Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$100.00Published rate
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See a sample payer proposalCPT 35901 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35901 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 35901 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 |
|---|---|---|
| 35800-CPT | Moderate | Exploratory Surgery, Exploratory Surgery To Examine A Site For Possible Hemorrhage (Excessive Bleeding) Or Infection Complications Following The Initial Surgery. |
| 35820-CPT | High | Exploratory Surgery, Exploratory Surgery To Examine A Site For Possible Hemorrhage (Excessive Bleeding) Or Infection Complications Following The Initial Surgery. |
| 35870-CPT | High | Repair Of Graft Complication, Surgery To Repair A Passageway (Fistula) That Has Developed Between A Blood Vessel Graft And Some Portion Of The Intestinal Area. |
| 35901-CPT | Moderate | Excision Of Infected Graft; Neck |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35901 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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