CPT code 34502: Cava reconstruction, any reconstruction method2026 Medicare rate & RVUs in South Dakota

Reports operative reconstruction of the vena cava, such as repair after tumor removal, major injury, or a defect that interrupts normal venous flow.

CMS RVU26DEffective Oct 1, 2026One payment locality188 Medicare services in 2024

In South Dakota, Medicare pays $1,274.15 for 34502 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,274.15Hospital or facility

Check a contract rate as a % of Medicare · 34502 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 34502 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 34502 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 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.

How South Dakota compares for 34502

Across 109 of 109 payment localities, the facility rate for 34502 runs from $1,256.05 in Wisconsin to $1,796.06 in Alaska. South Dakota pays $1,274.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

34502 in South Dakota vs other payment areas
  1. South Dakota · this page$1,274.15
  2. Los Angeles, CA · California$1,434.65+$160.50
  3. Washington, DC area · District of Columbia$1,541.38+$267.23
  4. Miami, FL · Florida$1,756.21+$482.06
  5. Chicago, IL · Illinois$1,702.06+$427.91
  6. Manhattan, NY · New York$1,647.34+$373.19
  7. Alaska · Alaska$1,796.06+$521.91

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

Every other payment area

34502 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,287.48
ArkansasArkansas—$1,271.94
ArizonaArizona—$1,376.73
Bakersfield, CACalifornia—$1,377.70
Chico, CACalifornia—$1,360.22
El Centro, CACalifornia—$1,361.29
Fresno, CACalifornia—$1,360.22
Hanford, CACalifornia—$1,360.22

34502 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
34502 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 34502 in every payment locality

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

Office or facility?

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.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,194

Code
34502
Physician work
27.37
Practice expense
8.62
Malpractice
6.42

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 34502 in South Dakota
ComponentRVULocality factorAdjusted
Physician work27.37× 1.00027.3700
Practice expense8.62× 1.0008.6200
Malpractice6.42× 0.3362.1571
Total RVUs38.1471
Conversion factor× 33.4009

Facility rate, South Dakota$1274.15

Facility: (27.37 × 1 + 8.62 × 1 + 6.42 × 0.336) × $33.4009 = $1274.15

Open 34502 in the RVU calculator

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

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
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 · 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.

  • 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 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%).

When to use modifier 51

How 34502 has changed in South Dakota

34502 · 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$1,274.15RVU26D
2026-07-01Not available in this setting$1,274.15RVU26C
2026-04-01Not available in this setting$1,274.15RVU26B
2026-01-01Not available in this setting$1,274.15RVU26A
2025-10-01Not available in this setting$1,351.73RVU25D
2025-07-01Not available in this setting$1,351.73RVU25C
2025-04-01Not available in this setting$1,351.73RVU25B
2025-01-01Not available in this setting$1,351.73RVU25A
2024-10-01Not available in this setting$1,383.32RVU24D
2024-07-01Not available in this setting$1,383.32RVU24C
2024-04-01Not available in this setting$1,383.32RVU24B
2024-03-09Not available in this setting$1,383.32RVU24AR
2024-01-01Not available in this setting$1,360.74RVU24A
2023-10-01Not available in this setting$1,392.84RVU23D
2023-07-01Not available in this setting$1,392.84RVU23C
2023-04-01Not available in this setting$1,392.84RVU23B
2023-01-01Not available in this setting$1,392.84RVU23A
2022-10-01Not available in this setting$1,424.02RVU22D
2022-07-01Not available in this setting$1,424.02RVU22C
2022-04-01Not available in this setting$1,424.02RVU22B
2022-01-01Not available in this setting$1,424.02RVU22A
2021-10-01Not available in this setting$1,438.53RVU21D
2021-07-01Not available in this setting$1,438.53RVU21C
2021-04-01Not available in this setting$1,438.53RVU21B
2021-01-01Not available in this setting$1,438.53RVU21A
2020-10-01Not available in this setting$1,477.15RVU20D
2020-07-01Not available in this setting$1,477.15RVU20C
2020-04-01Not available in this setting$1,477.15RVU20B
2020-01-01Not available in this setting$1,477.15RVU20A
2019-10-01Not available in this setting$1,477.67RVU19D
2019-07-01Not available in this setting$1,477.67RVU19C
2019-04-01Not available in this setting$1,477.67RVU19B
2019-01-01Not available in this setting$1,477.67RVU19A
2018-10-01Not available in this setting$1,481.43RVU18D
2018-07-01Not available in this setting$1,481.43RVU18C
2018-04-01Not available in this setting$1,481.43RVU18B
2018-01-01Not available in this setting$1,481.43RVU18AR1
2017-10-01Not available in this setting$1,481.20RVU17D
2017-07-01Not available in this setting$1,481.20RVU17C
2017-04-01Not available in this setting$1,481.20RVU17B
2017-01-01Not available in this setting$1,481.20RVU17A
2016-10-01Not available in this setting$1,479.15RVU16D
2016-07-01Not available in this setting$1,479.15RVU16C
2016-04-01Not available in this setting$1,479.15RVU16B
2016-01-01Not available in this setting$1,479.15RVU16A
2015-10-01Not available in this setting$1,483.62RVU15D
2015-07-01Not available in this setting$1,483.62RVU15C
2015-04-01Not available in this setting$1,476.24RVU15B
2015-01-01Not available in this setting$1,476.24RVU15A
2014-10-01Not available in this setting$1,477.41RVU14D
2014-07-01Not available in this setting$1,477.41RVU14C
2014-04-01Not available in this setting$1,477.41RVU14B
2014-01-01Not available in this setting$1,477.41RVU14A
2013-10-01Not available in this setting$1,459.74RVU13D
2013-07-01Not available in this setting$1,459.74RVU13C
2013-04-01Not available in this setting$1,459.74RVU13B
2013-01-01Not available in this setting$1,459.74RVU13AR

Price 34502 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 34502PPRRVU2026_Oct_nonQPP.csv, line 4,194 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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