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CPT code 34702: Aortic endograft repair, rupture, aorto-aortic tube2026 Medicare rate & RVUs

Emergency endovascular repair of a ruptured infrarenal aortic or iliac lesion using an aorto-aortic tube endograft, including associated imaging and access work.

CMS RVU26DEffective Oct 1, 2026109 payment localities103 Medicare services in 2024

Medicare pays $1,627.63 for 34702 nationally in a facility.

Medicare rate · 34702

Aortic endograft repair, rupture, aorto-aortic tube

Office or facility?

Work RVUs
35.1
Total RVUs
48.73
Global days
090

National rate · 2026

$1,627.63

Facility setting, before claim adjustments.

See every locality for 34702 →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 34702 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 34702 covers

This service treats a rupture involving the infrarenal aorta or iliac artery with an endovascular graft that runs from one aortic segment to another. Vascular surgeons typically perform it in a hospital operating room or endovascular suite as emergency treatment for a ruptured aneurysm or another ruptured lesion. The service includes associated radiological supervision and interpretation, endovascular access and closure, and treatment of related arterial injuries when needed.

Report this code when the operative documentation supports rupture and the aorto-aortic tube-graft configuration. The report should identify the ruptured lesion, treated anatomy, graft configuration, access and closure, and any associated arterial injury treatment. 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 others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.

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 34702 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

34702 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,477.93
AlaskaUnavailable$2,089.06
ArizonaUnavailable$1,579.58
ArkansasUnavailable$1,460.14
Atlanta, GAUnavailable$1,693.98
Austin, TXUnavailable$1,604.73
Bakersfield, CAUnavailable$1,547.37
Baltimore area, MDUnavailable$1,728.86
Beaumont, TXUnavailable$1,592.36
Brazoria, TXUnavailable$1,569.55

34702 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
34702 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 34702 rate is calculated

Each of 34702’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 · 34702

RVUs × geographic indexes × conversion factor

Office or facility?

Work35.10

35.10 RVUs× 1.000 GPCI

Practice expense4.64

4.64 RVUs× 1.000 GPCI

Malpractice8.99

8.99 RVUs× 1.000 GPCI

Adjusted RVUs

48.7300

Conversion factor

$33.4009

Medicare rate

$1,627.63

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

Payment rules and modifiers for 34702

34702 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34702

Aortic endograft repair, rupture, aorto-aortic tube

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)2Permitted.
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 · 34702

Aortic endograft repair, rupture, aorto-aortic tube

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

34702 without 51 · national facility

$1,627.63

Aortic endograft repair, rupture, aorto-aortic tube

34702-51 · Second procedure: 50%

$813.82

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

34702 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 34702

    Aortic endograft repair, rupture, aorto-aortic tube35.1 wRVU

    Not priced

  • 34701

    Aortic endograft repair, aorto-aortic tube graft23.12 wRVU

    Not priced

  • 34704

    Aorto-uni-iliac EVAR, ruptured aneurysm43.88 wRVU

    Not priced

  • 34706

    Aortic endograft repair, rupture, bilateral iliac limbs43.88 wRVU

    Not priced

  • 34709

    Endograft extension, during initial repair6.34 wRVU

    Not priced

How to choose

34701Aortic endograft repairAorto-aortic tube graft
Both use an aorto-aortic tube endograft, but 34702 is for rupture; 34701 is for a lesion other than rupture.
34704Aorto-uni-iliac EVARRuptured aneurysm
Both address rupture, but 34704 uses an aorto-uniliac configuration rather than the aorto-aortic tube configuration of 34702.
34706Aortic endograft repairRupture, bilateral iliac limbs
Both address rupture, but 34706 uses an aorto-bi-iliac configuration rather than the aorto-aortic tube configuration of 34702.
34709Endograft extensionDuring initial repair
34709 represents an additional distal extension prosthesis, not the primary rupture repair represented by 34702.

Codes related to 34702

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

Codes related to 34702
CodeHow it relatesNational office range
Used instead
34701Aortic endograft repair, aorto-aortic tube graftCorresponding aorto-aortic tube endograft repair for a lesion other than rupture.No office rate
34704Aorto-uni-iliac EVAR, ruptured aneurysmRupture repair using an aorto-uniliac endograft configuration.No office rate
34706Aortic endograft repair, rupture, bilateral iliac limbsRupture repair using an aorto-bi-iliac endograft configuration.No office rate
34708Iliac endograft repair, with ruptureRupture repair using an iliac-to-iliac endograft configuration.No office rate
Add-on codes
34709Endograft extension, during initial repairAdd-on for distal extension prosthesis placement during qualifying endovascular aortic or iliac repair.No office rate

34702 billing questions

How does 34702 differ from 34701?

34702 is for a ruptured lesion treated with an aorto-aortic tube endograft. Use 34701 for the corresponding repair when the lesion is not ruptured.

Which graft configuration distinguishes this code from 34704 or 34706?

34702 describes an aorto-aortic tube graft. Codes 34704 and 34706 represent rupture repairs using aorto-uniliac and aorto-bi-iliac configurations, respectively.

Are imaging, access, and closure separately reported?

The service includes associated radiological supervision and interpretation, endovascular access, and closure. Treatment of associated arterial injuries is also included when performed as part of the rupture repair.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery payment and co-surgeons for this code. Team surgery is not permitted.

What documentation supports reporting 34702?

Document the rupture, the treated aortic or iliac anatomy, and use of an aorto-aortic tube endograft. Include associated arterial injuries treated and the access and closure performed.

How does the 90-day global period affect postoperative billing?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%.

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 34702PPRRVU2026_Oct_nonQPP.csv, line 4,203 (RVU26D)

Open CMS sourceHow we calculate rates

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