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CPT code 34708: Iliac endograft repair, with rupture2026 Medicare rate & RVUs

Endovascularly repairs a ruptured iliac artery using an iliac-to-iliac endograft, with reporting distinguished from nonruptured and aortoiliac repairs.

CMS RVU26DEffective Oct 1, 2026109 payment localities96 Medicare services in 2024

Medicare pays $1,649.34 for 34708 nationally in a facility.

Medicare rate · 34708

Iliac endograft repair, with rupture

Office or facility?

Work RVUs
35.59
Total RVUs
49.38
Global days
090

National rate · 2026

$1,649.34

Facility setting, before claim adjustments.

See every locality for 34708 →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 34708 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 34708 covers

This code represents endovascular repair of a ruptured iliac artery using an iliac-to-iliac tube endograft. A vascular surgeon typically performs the procedure in a hospital operating room or endovascular suite, guiding the graft through arterial access to exclude the rupture from circulation. The code is for an iliac repair configuration, rather than repair using an aortic endograft. The operative report should establish the rupture, the treated iliac artery, and the endograft configuration.

Report the rupture-specific code rather than its nonruptured sibling when the repair addresses a rupture. Required imaging and radiological supervision and interpretation for the repair are included. CMS assigns a 90-day global period, including 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment may be allowed; team-surgery payment 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 34708 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

34708 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,497.64
AlaskaUnavailable$2,117.07
ArizonaUnavailable$1,600.64
ArkansasUnavailable$1,479.60
Atlanta, GAUnavailable$1,716.63
Austin, TXUnavailable$1,626.03
Bakersfield, CAUnavailable$1,567.79
Baltimore area, MDUnavailable$1,751.94
Beaumont, TXUnavailable$1,613.67
Brazoria, TXUnavailable$1,590.43

34708 rates by state

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

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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
34708 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 34708 rate is calculated

Each of 34708’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 · 34708

RVUs × geographic indexes × conversion factor

Office or facility?

Work35.59

35.59 RVUs× 1.000 GPCI

Practice expense4.67

4.67 RVUs× 1.000 GPCI

Malpractice9.12

9.12 RVUs× 1.000 GPCI

Adjusted RVUs

49.3800

Conversion factor

$33.4009

Medicare rate

$1,649.34

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

Payment rules and modifiers for 34708

34708 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34708

Iliac endograft repair, with rupture

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 34708

Iliac endograft repair, with rupture

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 50 · payment effect

With and without the modifier

34708 without 50 · national facility

$1,649.34

Iliac endograft repair, with rupture

34708-50 · Bilateral: 150%

$2,474.01

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).

When to use modifier 50

34708 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 34708

    Iliac endograft repair, with rupture35.59 wRVU

    Not priced

  • 34707

    Iliac endograft repair, nonruptured, iliac-to-iliac21.72 wRVU

    Not priced

  • 34706

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

    Not priced

  • 34704

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

    Not priced

How to choose

34707Iliac endograft repairNonruptured, iliac-to-iliac
This is the nonruptured iliac-to-iliac endograft repair code. Choose 34708 when the repair addresses a rupture.
34706Aortic endograft repairRupture, bilateral iliac limbs
This code covers ruptured aorto-bi-iliac endograft repair. Use 34708 when the repair is an iliac-to-iliac configuration rather than an aortic graft extending to both iliac arteries.
34704Aorto-uni-iliac EVARRuptured aneurysm
This code covers ruptured aorto-uniliac endograft repair. The distinction is the aortic graft configuration, not simply which iliac side is treated.

Codes related to 34708

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

Codes related to 34708
CodeHow it relatesNational office range
Same family
34707Iliac endograft repair, nonruptured, iliac-to-iliacThe corresponding iliac-to-iliac endograft repair code for cases without rupture.No office rate
Used instead
34706Aortic endograft repair, rupture, bilateral iliac limbsRuptured aorto-bi-iliac repair when the endograft configuration includes the aorta and both iliac arteries.No office rate
34704Aorto-uni-iliac EVAR, ruptured aneurysmRuptured aorto-uniliac repair using an aortic endograft configuration.No office rate
34702Aortic endograft repair, rupture, aorto-aortic tubeRuptured infrarenal aortic repair using an aorto-aortic tube endograft.No office rate

34708 billing questions

How does 34708 differ from 34707?

Both describe iliac-to-iliac endograft repair. Use 34708 for repair with rupture and 34707 for the corresponding nonruptured repair.

Are the repair's imaging services separately reported?

Required radiological supervision and interpretation for the endovascular repair are included in 34708. The operative documentation should support the rupture and the iliac-to-iliac graft configuration.

What global period applies?

The code has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.

Can 34708 be reported bilaterally?

CMS lists bilateral reporting with modifier 50, paid at 150%. The record should support repair on both sides.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery and co-surgeon payment may be allowed, but team-surgery payment 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
RVUs for 34708PPRRVU2026_Oct_nonQPP.csv, line 4,209 (RVU26D)

Open CMS sourceHow we calculate rates

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