CPT code 34520: Venous bypass, femoral-femoral crossover graft2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $808.52 for 34520 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 34520 nationwide

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

What 34520 covers

A vascular surgeon creates a vein-graft pathway across the midline to reroute blood from an obstructed lower-extremity venous outflow into the opposite-side venous system. A typical clinical setting is chronic unilateral iliac venous obstruction when a crossover bypass, such as a Palma-Dale-type operation, is selected. The operative record should identify the obstruction, the veins used for inflow and outflow, the graft route, and the anastomoses.

Report this code for the crossover venous graft procedure, not simply for vein harvest or a valve repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 50% reduction. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation. 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 North Dakota compares for 34520

Across 109 of 109 payment localities, the facility rate for 34520 runs from $787.90 in Wisconsin to $1,151.67 in Alaska. North Dakota pays $808.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

34520 rates by state

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

See 34520 in every payment locality

How the 34520 rate is calculated

Each of 34520’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.

Payment rules and modifiers for 34520

34520 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 34520

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

How 34520 has changed in North Dakota

Price 34520 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates