CPT code 34501: Venous valve repair, femoral vein2026 Medicare rate & RVUs in Virginia

Reports operative repair of a femoral vein valve, typically to address deep venous reflux when the surgeon repairs the existing valve.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Virginia, Medicare pays $777.27 for 34501 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$777.27Hospital or facility

Check a contract rate as a % of Medicare · 34501 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 34501 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 34501 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 34501 covers

A vascular surgeon repairs a valve in the femoral vein to improve its ability to limit backward blood flow. The operation is used for selected patients with deep venous valvular insufficiency and may be performed in a hospital operating room. The operative report should identify the femoral vein valve treated and describe the repair performed; this is distinct from moving a valve from another vein or creating a crossover graft.

Report the code for the femoral vein valve repair itself. Documentation should establish the site, indication, and operative work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 34501

Across 109 of 109 payment localities, the facility rate for 34501 runs from $718.27 in Wisconsin to $1,040.79 in Alaska. Virginia pays $777.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

34501 in Virginia vs other payment areas
  1. Virginia · this page$777.27
  2. Los Angeles, CA · California$820.28+$43.01
  3. Washington, DC area · District of Columbia$889.59+$112.32
  4. Miami, FL · Florida$1,040.05+$262.78
  5. Chicago, IL · Illinois$1,006.40+$229.13
  6. Manhattan, NY · New York$959.17+$181.90
  7. Alaska · Alaska$1,040.79+$263.52

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

34501 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$743.43
ArkansasArkansas—$734.18
ArizonaArizona—$796.42
Bakersfield, CACalifornia—$789.03
Chico, CACalifornia—$777.72
El Centro, CACalifornia—$778.42
Fresno, CACalifornia—$777.72
Hanford, CACalifornia—$777.72

34501 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
34501 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 34501 in every payment locality

How the 34501 rate is calculated

Each of 34501’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 34501

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.43

16.43 RVUs× 1.000 GPCI

Practice expense3.95

3.95 RVUs× 1.000 GPCI

Malpractice4.19

4.19 RVUs× 1.000 GPCI

Adjusted RVUs

24.5700

Conversion factor

$33.4009

Medicare rate

$820.66

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,193

Code
34501
Physician work
16.43
Practice expense
3.95
Malpractice
4.19

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Facility calculation for 34501 in Virginia
ComponentRVULocality factorAdjusted
Physician work16.43× 1.00016.4300
Practice expense3.95× 0.9833.8828
Malpractice4.19× 0.7062.9581
Total RVUs23.2710
Conversion factor× 33.4009

Facility rate, Virginia$777.27

Facility: (16.43 × 1 + 3.95 × 0.983 + 4.19 × 0.706) × $33.4009 = $777.27

Open 34501 in the RVU calculator

Payment rules and modifiers for 34501

34501 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34501

Venous valve repair, femoral vein

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 34501

Venous valve repair, femoral vein

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

34501 without 50 · national facility

$820.66

Venous valve repair, femoral vein

34501-50 · Bilateral: 150%

$1,230.99

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 34501 has changed in Virginia

34501 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$777.27RVU26D
2026-07-01Not available in this setting$777.27RVU26C
2026-04-01Not available in this setting$777.27RVU26B
2026-01-01Not available in this setting$777.27RVU26A
2025-10-01Not available in this setting$820.31RVU25D
2025-07-01Not available in this setting$820.31RVU25C
2025-04-01Not available in this setting$820.31RVU25B
2025-01-01Not available in this setting$820.31RVU25A
2024-10-01Not available in this setting$840.59RVU24D
2024-07-01Not available in this setting$840.59RVU24C
2024-04-01Not available in this setting$840.59RVU24B
2024-03-09Not available in this setting$840.59RVU24AR
2024-01-01Not available in this setting$826.87RVU24A
2023-10-01Not available in this setting$859.71RVU23D
2023-07-01Not available in this setting$859.71RVU23C
2023-04-01Not available in this setting$859.71RVU23B
2023-01-01Not available in this setting$859.71RVU23A
2022-10-01Not available in this setting$891.10RVU22D
2022-07-01Not available in this setting$891.10RVU22C
2022-04-01Not available in this setting$891.10RVU22B
2022-01-01Not available in this setting$891.10RVU22A
2021-10-01Not available in this setting$889.59RVU21D
2021-07-01Not available in this setting$889.59RVU21C
2021-04-01Not available in this setting$889.59RVU21B
2021-01-01Not available in this setting$889.59RVU21A
2020-10-01Not available in this setting$917.52RVU20D
2020-07-01Not available in this setting$917.52RVU20C
2020-04-01Not available in this setting$917.52RVU20B
2020-01-01Not available in this setting$917.52RVU20A
2019-10-01Not available in this setting$911.49RVU19D
2019-07-01Not available in this setting$911.49RVU19C
2019-04-01Not available in this setting$905.92RVU19B
2019-01-01Not available in this setting$905.92RVU19A
2018-10-01Not available in this setting$916.61RVU18D
2018-07-01Not available in this setting$916.61RVU18C
2018-04-01Not available in this setting$916.61RVU18B
2018-01-01Not available in this setting$916.61RVU18AR1
2017-10-01Not available in this setting$922.45RVU17D
2017-07-01Not available in this setting$922.45RVU17C
2017-04-01Not available in this setting$922.45RVU17B
2017-01-01Not available in this setting$922.45RVU17A
2016-10-01Not available in this setting$1,000.18RVU16D
2016-07-01Not available in this setting$1,000.18RVU16C
2016-04-01Not available in this setting$1,000.18RVU16B
2016-01-01Not available in this setting$1,000.18RVU16A
2015-10-01Not available in this setting$922.19RVU15D
2015-07-01Not available in this setting$922.19RVU15C
2015-04-01Not available in this setting$917.60RVU15B
2015-01-01Not available in this setting$917.60RVU15A
2014-10-01Not available in this setting$1,005.25RVU14D
2014-07-01Not available in this setting$1,005.25RVU14C
2014-04-01Not available in this setting$1,005.25RVU14B
2014-01-01Not available in this setting$1,005.25RVU14A
2013-10-01Not available in this setting$896.15RVU13D
2013-07-01Not available in this setting$896.15RVU13C
2013-04-01Not available in this setting$896.15RVU13B
2013-01-01Not available in this setting$896.15RVU13AR

Price 34501 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

34501 billing questions

How is this different from 34510?

34501 is for repairing the femoral vein valve in place. 34510 describes transposing a vein valve, a different operative approach.

When would 34520 be considered instead?

34520 describes a crossover vein graft rather than repair of the femoral vein valve. Use the code that matches the reconstruction documented in the operative report.

Is related postoperative care separately reported during the global period?

The 90-day global period includes related postoperative care. It also includes the day-before preoperative visit.

How does CMS handle bilateral reporting?

CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support repair on both sides.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 34501PPRRVU2026_Oct_nonQPP.csv, line 4,193 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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