CPT code 34705: Aortic endograft repair, aorto-bi-iliac configuration2026 Medicare rate & RVUs in Oregon
Reports endovascular repair of a nonruptured infrarenal aortic aneurysm or dissection using an endograft that extends into both iliac arteries.
CMS doesn’t publish an office rate for 34705 in Oregon.
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 34705 covers
A vascular surgeon typically uses this service to exclude a nonruptured infrarenal abdominal aortic aneurysm or dissection with an endograft spanning the aorta and extending into both iliac arteries. The repair is performed in an operating room or endovascular suite, with imaging used to guide graft deployment and assess the repair. The aorto-bi-iliac configuration distinguishes this service from a tube graft or a one-sided iliac configuration.
Report the code for the initial repair when the documented diagnosis and deployed graft configuration support it; a ruptured aorta is coded in the corresponding rupture service instead. The operative report should establish the treated anatomy, rupture status, graft configuration, deployment, and access approach. Associated imaging integral to guiding and evaluating the repair is included. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. 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 34705 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | $1,347.37 |
| Rest of Oregon | Unavailable | $1,302.48 |
How the 34705 rate is calculated
Each of 34705’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 · 34705
RVUs × geographic indexes × conversion factor
Work28.84
28.84 RVUs× 1.000 GPCI
Practice expense5.10
5.10 RVUs× 1.000 GPCI
Malpractice7.22
7.22 RVUs× 1.000 GPCI
Adjusted RVUs
41.1600
Conversion factor
$33.4009
Medicare rate
$1,374.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34705
34705 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34705
Aortic endograft repair, aorto-bi-iliac configuration
| 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) | 2 | 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 · 34705
Aortic endograft repair, aorto-bi-iliac configuration
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
34705 without 51 · national facility
$1,374.78
Aortic endograft repair, aorto-bi-iliac configuration
34705-51 · Second procedure: 50%
$687.39
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%).
34705 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 34706Aortic endograft repairRupture, bilateral iliac limbs
- The graft configuration is also aorto-bi-iliac, but 34706 is the corresponding repair service when the aorta is ruptured.
- 34703Aortic endograft repairOne iliac artery
- 34703 describes an aorto-uniliac configuration, with the endograft extending into one iliac artery rather than both.
- 34701Aortic endograft repairAorto-aortic tube graft
- 34701 is for an aorto-aortic tube configuration; 34705 uses a graft that extends into both iliac arteries.
- 34709Endograft extensionDuring initial repair
- 34709 describes placement of an extension prosthesis as an add-on when needed; it does not replace the initial repair code.
34705 billing questions
When should 34705 be chosen over 34706?
Use 34705 for the aorto-bi-iliac endograft repair when the aortic condition is not ruptured. The corresponding rupture service is 34706.
Does 34705 include the imaging performed during graft placement?
Imaging integral to guiding and evaluating the endovascular repair is included. Do not separately report routine imaging that is part of the repair.
Can femoral access be reported separately?
A separately reportable access service may be appropriate when its requirements are met: 34713 describes percutaneous femoral access and closure, while 34714 describes open femoral artery exposure.
Should modifier 50 be appended for the two iliac limbs?
No. The aorto-bi-iliac configuration is already represented by the service, and the CMS bilateral adjustment does not apply.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is 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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