CPT code 34707: Iliac endograft repair, nonruptured, iliac-to-iliac2026 Medicare rate & RVUs in California
Report this service for endovascular exclusion of a nonruptured iliac artery aneurysm with an iliac-to-iliac endograft, rather than an aortic endograft.
CMS doesn’t publish an office rate for 34707 in California.
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 34707 covers
A vascular surgeon typically performs this repair in a hospital operating room or endovascular suite, using arterial access, guidewires, and imaging to position a tube-shaped graft across a nonruptured iliac artery aneurysm. The graft routes blood through the treated segment and excludes the aneurysm from circulation. This code describes an iliac-to-iliac repair, not a repair that also reconstructs the aorta. Catheter work and imaging integral to the endovascular repair are included.
Select the code based on the treated anatomy and whether the aneurysm is ruptured; documentation should identify the iliac segments treated, the endograft deployed, and the nonruptured status. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery and co-surgeons 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 34707 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $1,007.48 |
| Chico, CA | Unavailable | $992.79 |
| El Centro, CA | Unavailable | $993.70 |
| Fresno, CA | Unavailable | $992.79 |
| Hanford, CA | Unavailable | $992.79 |
| Los Angeles, CA | Unavailable | $1,045.94 |
| Madera, CA | Unavailable | $992.79 |
| Marin County, CA | Unavailable | $1,080.61 |
| Merced, CA | Unavailable | $992.79 |
| Modesto, CA | Unavailable | $992.79 |
| Napa, CA | Unavailable | $1,053.04 |
| Oxnard, CA | Unavailable | $1,028.93 |
| Redding, CA | Unavailable | $992.79 |
| Rest of California | Unavailable | $992.79 |
| Riverside, CA | Unavailable | $1,051.01 |
| Sacramento, CA | Unavailable | $1,016.22 |
| Salinas, CA | Unavailable | $1,012.02 |
| San Benito County, CA | Unavailable | $1,110.07 |
| San Diego, CA | Unavailable | $1,017.71 |
| San Francisco, CA | Unavailable | $1,074.45 |
| San Luis Obispo, CA | Unavailable | $998.98 |
| Santa Clara County, CA | Unavailable | $1,084.86 |
| Santa Cruz, CA | Unavailable | $1,012.82 |
| Santa Maria, CA | Unavailable | $1,010.85 |
| Santa Rosa, CA | Unavailable | $1,021.22 |
| Stockton, CA | Unavailable | $992.79 |
| Vallejo, CA | Unavailable | $1,044.16 |
| Visalia, CA | Unavailable | $992.79 |
| Yuba City, CA | Unavailable | $992.79 |
How the 34707 rate is calculated
Each of 34707’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 · 34707
RVUs × geographic indexes × conversion factor
Work21.72
21.72 RVUs× 1.000 GPCI
Practice expense4.31
4.31 RVUs× 1.000 GPCI
Malpractice5.43
5.43 RVUs× 1.000 GPCI
Adjusted RVUs
31.4600
Conversion factor
$33.4009
Medicare rate
$1,050.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34707
34707 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34707
Iliac endograft repair, nonruptured, iliac-to-iliac
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 34707
Iliac endograft repair, nonruptured, iliac-to-iliac
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 50 · payment effect
With and without the modifier
34707 without 50 · national facility
$1,050.79
Iliac endograft repair, nonruptured, iliac-to-iliac
34707-50 · Bilateral: 150%
$1,576.19
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).
34707 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 34708Iliac endograft repairWith rupture
- The repair configuration is similar, but 34708 is for a ruptured iliac aneurysm; 34707 is for a nonruptured aneurysm.
- 34705Aortic endograft repairAorto-bi-iliac configuration
- 34705 describes endograft repair involving the aorta and both iliac arteries. Choose 34707 for an iliac-to-iliac repair that does not reconstruct the aorta.
- 34717Iliac branch repairWith aortoiliac endograft
- 34717 is for iliac repair using an iliac branch endoprosthesis. This code describes iliac-to-iliac endograft repair without that branch-device approach.
34707 billing questions
How does this differ from 34708?
This code is for nonruptured iliac-to-iliac endograft repair. Use 34708 for the corresponding repair when the iliac aneurysm is ruptured.
When is 34705 a better fit?
Use 34705 when the endograft repair reconstructs the aorta and both iliac arteries. This code is for an iliac-to-iliac repair without that aorto-bi-iliac configuration.
Are catheterization and imaging separately reported?
Catheter work and imaging integral to the endovascular repair are included. Do not separately report those integral services as though they were independent procedures.
Can modifier 50 be used for bilateral repair?
Yes. CMS treats this as a bilateral procedure when reported with modifier 50 and pays it at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care. The repair also follows the standard multiple-procedure reduction when performed with other procedures in the same session.
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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