CPT code 34502: Cava reconstruction, any reconstruction method2026 Medicare rate & RVUs in Missouri
Reports operative reconstruction of the vena cava, such as repair after tumor removal, major injury, or a defect that interrupts normal venous flow.
CMS doesn’t publish an office rate for 34502 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 34502 covers
Code 34502 represents operative rebuilding of the vena cava after a segment is damaged, narrowed, or removed. The surgeon may restore continuity with direct repair, a patch, or an interposition graft, depending on the defect. Typical cases include reconstruction after removal of renal cancer extending into the inferior vena cava or repair after major abdominal trauma. Vascular surgeons and urologic or surgical oncology surgeons perform the procedure in an operating room, often during abdominal or retroperitoneal surgery.
Report the code when the operation includes reconstruction of the vena cava, rather than removal of a clot alone. Document the affected cava segment, defect, reconstruction method and material, and related procedures such as tumor removal. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for the single vena cava. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are 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.
Where 34502 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,394.04 |
| Metropolitan St. Louis, MO | Unavailable | $1,403.14 |
| Rest of Missouri | Unavailable | $1,371.22 |
How the 34502 rate is calculated
Each of 34502’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 · 34502
RVUs × geographic indexes × conversion factor
Work27.37
27.37 RVUs× 1.000 GPCI
Practice expense8.62
8.62 RVUs× 1.000 GPCI
Malpractice6.42
6.42 RVUs× 1.000 GPCI
Adjusted RVUs
42.4100
Conversion factor
$33.4009
Medicare rate
$1,416.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34502
34502 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34502
Cava reconstruction, any reconstruction method
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 34502
Cava reconstruction, any reconstruction method
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
34502 without 51 · national facility
$1,416.53
Cava reconstruction, any reconstruction method
34502-51 · Second procedure: 50%
$708.27
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
34502 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35221Vessel repairDirect repair, intra-abdominal
- This code describes direct repair of an intra-abdominal blood vessel generally. Choose 34502 when the reconstructed vessel is the vena cava.
- 35251Vessel repairIntra-abdominal vein graft
- This code describes intra-abdominal vessel repair using a vein graft. Code 34502 specifically identifies vena cava reconstruction.
- 35281Vessel repairNonvenous graft, intra-abdominal
- This code describes intra-abdominal vessel repair using a non-vein graft. Code 34502 is specific to reconstruction of the vena cava.
34502 billing questions
When is 34502 appropriate instead of a general vessel-repair code?
Use 34502 when the operation reconstructs the vena cava. General intra-abdominal vessel-repair codes describe other vessels or circumstances and should not replace this vena-cava-specific code.
Does removal of a vena cava clot alone support 34502?
No. The operative report should show that the vena cava was reconstructed, not merely that a thrombus was removed.
Can 34502 be reported with tumor removal?
It may be performed during an operation removing a tumor involving the vena cava. Document the reconstruction as a distinct operative service and describe its relationship to the tumor procedure.
Should modifier 50 be used for vena cava reconstruction?
No. Modifier 50 is inappropriate for the single vena cava.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made for 34502. Co-surgeon and team-surgery payment are 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
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