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CPT code 34709: Endograft extension, during initial repair2026 Medicare rate & RVUs

Reports placement of an additional endograft extension during infrarenal aortic or iliac endovascular repair to extend the graft's proximal or distal coverage.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.2K Medicare services in 2024

Medicare pays $288.58 for 34709 nationally in a facility.

Medicare rate · 34709

Endograft extension, during initial repair

Office or facility?

Work RVUs
6.34
Total RVUs
8.64
Global days
ZZZ

National rate · 2026

$288.58

Facility setting, before claim adjustments.

See every locality for 34709 →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 34709 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 34709 covers

During endovascular repair of an infrarenal abdominal aortic or iliac aneurysm or other lesion, the physician may place an additional graft segment to extend the endograft's proximal or distal reach. The extension can help achieve the intended landing zone or seal. Vascular surgeons and other physicians performing endovascular aortic or iliac repair typically use this service in an operating room or endovascular suite. The code includes the associated radiological supervision and interpretation for the extension placement.

Report 34709 with an applicable primary endovascular repair, such as a tube, uniliac, bifurcated, or ilio-iliac graft procedure. The code is per vessel treated, so documentation should identify the vessel receiving an extension and the additional graft placement. CMS classifies it as an add-on code: it is billed only with a primary procedure, and payment falls within that procedure's global period. Do not report it as a stand-alone service; distinguish an extension placed during the repair from a delayed extension addressed by codes 34710 and 34711.

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 34709 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

34709 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$262.57
AlaskaUnavailable$372.16
ArizonaUnavailable$280.20
ArkansasUnavailable$259.48
Atlanta, GAUnavailable$300.27
Austin, TXUnavailable$284.33
Bakersfield, CAUnavailable$274.12
Baltimore area, MDUnavailable$306.29
Beaumont, TXUnavailable$282.68
Brazoria, TXUnavailable$278.38

34709 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
34709 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 34709 rate is calculated

Each of 34709’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 · 34709

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.34

6.34 RVUs× 1.000 GPCI

Practice expense0.71

0.71 RVUs× 1.000 GPCI

Malpractice1.59

1.59 RVUs× 1.000 GPCI

Adjusted RVUs

8.6400

Conversion factor

$33.4009

Medicare rate

$288.58

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

Payment rules and modifiers for 34709

The CMS indicators that decide how 34709 is paid alongside other services.

CMS payment indicators · 34709

Endograft extension, during initial repair

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

34709 without 80 · national facility

$288.58

Endograft extension, during initial repair

34709-80 · Assistant: 16%

$46.17

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

34709 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 34709

    Endograft extension, during initial repair6.34 wRVU

    Not priced

  • 34710

    Graft extension, delayed, initial vessel14.63 wRVU

    Not priced

  • 34711

    Endograft extension, delayed, additional vessel5.85 wRVU

    Not priced

  • 34712

    Graft fixation, enhanced fixation device11.7 wRVU

    Not priced

How to choose

34710Graft extensionDelayed, initial vessel
34710 is for delayed placement of an extension in the first vessel. Use 34709 when the extension is placed during the primary endovascular repair.
34711Endograft extensionDelayed, additional vessel
34711 covers each additional vessel in delayed extension placement. It is not the during-repair extension code.
34712Graft fixationEnhanced fixation device
34712 describes delivery of an enhanced fixation device. Code 34709 reports placement of an endograft extension to extend graft coverage.

Codes related to 34709

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

Codes related to 34709
CodeHow it relatesNational office range
Add-on codes
34701Aortic endograft repair, aorto-aortic tube graftPrimary aorto-aortic endovascular repair that may be accompanied by an extension.No office rate
34705Aortic endograft repair, aorto-bi-iliac configurationPrimary bifurcated aortic endograft repair that may require an extension.No office rate
34707Iliac endograft repair, nonruptured, iliac-to-iliacPrimary ilio-iliac endovascular repair that may be accompanied by an extension.No office rate
Used instead
34710Graft extension, delayed, initial vesselFor delayed placement of an extension in the first vessel, rather than placement during the repair.No office rate
Same family
34711Endograft extension, delayed, additional vesselReports each additional vessel for delayed extension placement under 34710.No office rate

34709 billing questions

When is 34709 used instead of 34710?

Use 34709 for an extension placed during the endovascular repair. Code 34710 describes delayed placement of an extension in the first vessel.

Can 34709 be billed by itself?

No. It is an add-on code and must be reported with an applicable primary endovascular repair.

What should the operative note support?

Document the primary repair, the additional extension placement, and the vessel treated. The record should make clear that the extension was placed during the repair.

How are multiple treated vessels reported?

The code is defined per vessel treated. Documentation should support each vessel for which an extension was placed.

Can the imaging guidance for the extension be billed separately?

The associated radiological supervision and interpretation for the extension placement are included in 34709.

How does CMS treat payment for this code?

CMS identifies 34709 as an add-on code billed only with a primary procedure; its payment is within that procedure's global period.

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 34709PPRRVU2026_Oct_nonQPP.csv, line 4,210 (RVU26D)

Open CMS sourceHow we calculate rates

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