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CPT code 34510: Vein valve transposition, lower-extremity valve transfer2026 Medicare rate & RVUs

Reports surgical transfer of a vein valve to the lower-extremity venous system to address deep venous valve dysfunction and reflux.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $931.55 for 34510 nationally in a facility.

Medicare rate · 34510

Vein valve transposition, lower-extremity valve transfer

Office or facility?

Work RVUs
19.41
Total RVUs
27.89
Global days
090

National rate · 2026

$931.55

Facility setting, before claim adjustments.

See every locality for 34510 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 34510 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 34510 covers

A vascular surgeon transfers a valve-bearing segment of vein to the lower-extremity deep venous system to restore one-way blood flow. A typical example is moving a valve-bearing segment from the axillary vein to a femoral vein. The operation is used for selected patients with significant deep venous valve dysfunction and chronic venous insufficiency, generally in a surgical setting.

Report this service when the operation transposes a vein valve; direct repair of a native femoral vein valve is a different procedure. The operative report should identify the donor and recipient veins, the transferred valve-bearing segment, the side treated, and the indication. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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.

Where 34510 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

34510 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$845.06
AlaskaUnavailable$1,189.14
ArizonaUnavailable$904.09
ArkansasUnavailable$834.74
Atlanta, GAUnavailable$968.61
Austin, TXUnavailable$920.84
Bakersfield, CAUnavailable$890.54
Baltimore area, MDUnavailable$989.72
Beaumont, TXUnavailable$909.20
Brazoria, TXUnavailable$899.30

34510 rates by state

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

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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
34510 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

How the 34510 rate is calculated

Each of 34510’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 · 34510

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.41

19.41 RVUs× 1.000 GPCI

Practice expense3.53

3.53 RVUs× 1.000 GPCI

Malpractice4.95

4.95 RVUs× 1.000 GPCI

Adjusted RVUs

27.8900

Conversion factor

$33.4009

Medicare rate

$931.55

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

Payment rules and modifiers for 34510

34510 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34510

Vein valve transposition, lower-extremity valve transfer

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 · 34510

Vein valve transposition, lower-extremity valve transfer

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

34510 without 50 · national facility

$931.55

Vein valve transposition, lower-extremity valve transfer

34510-50 · Bilateral: 150%

$1,397.33

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

34510 compared with similar codes

Compare codes · National

34510 vs 34501 vs 34520: Medicare rates

Office or facility?

  • 34510

    Vein valve transposition, lower-extremity valve transfer19.41 wRVU

    Not priced

  • 34501

    Venous valve repair, femoral vein16.43 wRVU

    Not priced

  • 34520

    Venous bypass, femoral-femoral crossover graft18.7 wRVU

    Not priced

How to choose

34501Venous valve repairFemoral vein
Choose 34501 for repair of the native femoral vein valve. This code is for transferring a valve-bearing vein segment to the lower-extremity venous system.
34520Venous bypassFemoral-femoral crossover graft
Code 34520 describes a crossover vein graft between femoral veins. It is a different venous operation, not valve transposition.

Codes related to 34510

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 34510
CodeHow it relatesNational office range
Used instead
34501Venous valve repair, femoral veinRepairs a native femoral vein valve rather than transferring a valve-bearing segment.No office rate

34510 billing questions

How is this different from femoral vein valve repair?

This code describes moving a valve-bearing vein segment to the lower-extremity venous system. Code 34501 describes repair of a native femoral vein valve.

What operative documentation supports reporting this service?

Document the valve transposition, donor and recipient veins, side treated, and clinical indication. The operative note should make clear that a valve-bearing segment was transferred rather than repaired in place.

Does the code include routine postoperative care?

Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is bilateral performance reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.

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 34510PPRRVU2026_Oct_nonQPP.csv, line 4,196 (RVU26D)

Open CMS sourceHow we calculate rates

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