CPT code 34706: Aortic endograft repair, rupture, bilateral iliac limbs2026 Medicare rate & RVUs in Illinois
Endovascular repair of a ruptured infrarenal aortic aneurysm or dissection using a bifurcated graft with limbs extending into both iliac arteries.
CMS doesn’t publish an office rate for 34706 in Illinois.
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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On this page 9 sections
What 34706 covers
This code describes endovascular exclusion of a ruptured infrarenal aortic aneurysm or dissection with a bifurcated endograft extending from the aorta into both iliac arteries. A vascular surgeon typically performs the repair in a hospital operating room or endovascular suite, using imaging to guide graft deployment and assess the result. The repair addresses the aortic lesion and its bilateral iliac configuration; it is not the code for an isolated iliac aneurysm repair.
Select this code when the operative report documents rupture and the aorto-bi-iliac graft configuration. Distinguish it from codes for nonruptured repairs or other graft configurations. 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 procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate because the descriptor and anatomy account for bilateral treatment. Assistant-at-surgery and co-surgeon services may be paid; 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 34706 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | $2,541.41 |
| East St. Louis, IL | Unavailable | $2,408.87 |
| Rest of Illinois | Unavailable | $2,240.46 |
| Suburban Chicago, IL | Unavailable | $2,352.59 |
How the 34706 rate is calculated
Each of 34706’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 · 34706
RVUs × geographic indexes × conversion factor
Work43.88
43.88 RVUs× 1.000 GPCI
Practice expense6.44
6.44 RVUs× 1.000 GPCI
Malpractice11.08
11.08 RVUs× 1.000 GPCI
Adjusted RVUs
61.4000
Conversion factor
$33.4009
Medicare rate
$2,050.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34706
34706 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34706
Aortic endograft repair, rupture, bilateral iliac limbs
| 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 · 34706
Aortic endograft repair, rupture, bilateral iliac limbs
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
34706 without 51 · national facility
$2,050.82
Aortic endograft repair, rupture, bilateral iliac limbs
34706-51 · Second procedure: 50%
$1,025.41
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%).
34706 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 34705Aortic endograft repairAorto-bi-iliac configuration
- The graft configuration is the same, but 34705 is for a nonruptured lesion. Rupture documented in the operative report supports 34706.
- 34702Aortic endograft repairRupture, aorto-aortic tube
- Both address rupture, but 34702 uses an aorto-aortic tube graft rather than a bifurcated graft extending into both iliac arteries.
- 34704Aorto-uni-iliac EVARRuptured aneurysm
- Both address rupture, but 34704 uses an aorto-uni-iliac graft configuration rather than bilateral iliac limbs.
34706 billing questions
How does this differ from 34705?
Both describe aorto-bi-iliac endograft repair. Use 34706 when the aortic aneurysm or dissection is ruptured; 34705 is for repair without rupture.
Should modifier 50 be appended for the two iliac limbs?
No. The bilateral aorto-iliac configuration is built into the service, making modifier 50 inappropriate.
What documentation supports reporting 34706?
The operative report should establish rupture and describe deployment of a bifurcated endograft from the aorta into both iliac arteries.
How does the 90-day global period affect postoperative care?
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 and co-surgeon services may be paid. Team surgery is not permitted.
Can another procedure in the same session be reduced?
Yes. The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.
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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