CPT code 34709: Endograft extension, during initial repair2026 Medicare rate & RVUs in New Mexico
Reports placement of an additional endograft extension during infrarenal aortic or iliac endovascular repair to extend the graft's proximal or distal coverage.
In New Mexico, Medicare pays $297.29 for 34709 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 34709 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How New Mexico compares for 34709
Across 109 of 109 payment localities, the facility rate for 34709 runs from $250.84 in Wisconsin to $372.16 in Alaska. New Mexico pays $297.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$297.29
- Los Angeles, CA · California$283.76−$13.53
- Washington, DC area · District of Columbia$310.24+$12.95
- Miami, FL · Florida$370.76+$73.47
- Chicago, IL · Illinois$358.96+$61.67
- Manhattan, NY · New York$337.10+$39.81
- Alaska · Alaska$372.16+$74.87
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $262.57 |
| ArkansasArkansas | — | $259.48 |
| ArizonaArizona | — | $280.20 |
| Bakersfield, CACalifornia | — | $274.12 |
| Chico, CACalifornia | — | $269.82 |
| El Centro, CACalifornia | — | $270.08 |
| Fresno, CACalifornia | — | $269.82 |
| Hanford, CACalifornia | — | $269.82 |
| Madera, CACalifornia | — | $269.82 |
| Merced, CACalifornia | — | $269.82 |
| Modesto, CACalifornia | — | $269.82 |
| Napa, CACalifornia | — | $283.34 |
| Oxnard, CACalifornia | — | $278.81 |
| Redding, CACalifornia | — | $269.82 |
| Rest of CaliforniaCalifornia | — | $269.82 |
| Riverside, CACalifornia | — | $286.87 |
| Sacramento, CACalifornia | — | $275.43 |
| Salinas, CACalifornia | — | $274.28 |
| San Diego, CACalifornia | — | $275.26 |
| Marin County, CACalifornia | — | $289.69 |
| San Francisco, CACalifornia | — | $287.89 |
| San Benito County, CACalifornia | — | $297.72 |
| Santa Clara County, CACalifornia | — | $290.34 |
| San Luis Obispo, CACalifornia | — | $270.84 |
| Santa Cruz, CACalifornia | — | $273.49 |
| Santa Maria, CACalifornia | — | $273.81 |
| Santa Rosa, CACalifornia | — | $275.70 |
| Stockton, CACalifornia | — | $269.82 |
| Vallejo, CACalifornia | — | $280.73 |
| Visalia, CACalifornia | — | $269.82 |
| Yuba City, CACalifornia | — | $269.82 |
| ColoradoColorado | — | $281.01 |
| ConnecticutConnecticut | — | $305.80 |
| DelawareDelaware | — | $283.99 |
| Fort Lauderdale, FLFlorida | — | $331.80 |
| Rest of FloridaFlorida | — | $314.25 |
| Atlanta, GAGeorgia | — | $300.27 |
| Rest of GeorgiaGeorgia | — | $296.22 |
| Hawaii, Guam, HIHawaii | — | $269.47 |
| IowaIowa | — | $254.54 |
| IdahoIdaho | — | $258.70 |
| East St. Louis, ILIllinois | — | $340.54 |
| Rest of IllinoisIllinois | — | $316.42 |
| Suburban Chicago, ILIllinois | — | $331.71 |
| IndianaIndiana | — | $259.56 |
| KansasKansas | — | $259.97 |
| KentuckyKentucky | — | $281.44 |
| New Orleans, LALouisiana | — | $294.41 |
| Rest of LouisianaLouisiana | — | $283.63 |
| Metropolitan Boston, MAMassachusetts | — | $296.02 |
| Rest of MassachusettsMassachusetts | — | $282.45 |
| Baltimore area, MDMaryland | — | $306.29 |
| Rest of MarylandMaryland | — | $286.63 |
| Rest of MaineMaine | — | $266.61 |
| Southern Maine, MEMaine | — | $268.77 |
| Detroit, MIMichigan | — | $324.19 |
| Rest of MichiganMichigan | — | $293.37 |
| MinnesotaMinnesota | — | $251.88 |
| Metropolitan Kansas City, MOMissouri | — | $285.92 |
| Metropolitan St. Louis, MOMissouri | — | $287.55 |
| Rest of MissouriMissouri | — | $283.93 |
| MississippiMississippi | — | $271.43 |
| MontanaMontana | — | $288.48 |
| North CarolinaNorth Carolina | — | $267.82 |
| North DakotaNorth Dakota | — | $257.04 |
| NebraskaNebraska | — | $253.72 |
| New HampshireNew Hampshire | — | $282.92 |
| Northern New JerseyNew Jersey | — | $309.33 |
| Rest of New JerseyNew Jersey | — | $304.39 |
| NevadaNevada | — | $279.74 |
| NYC suburbs and Long Island, NYNew York | — | $352.13 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $311.52 |
| Queens, NYNew York | — | $329.93 |
| Rest of New YorkNew York | — | $271.63 |
| OhioOhio | — | $286.95 |
| OklahomaOklahoma | — | $274.20 |
| Portland, OROregon | — | $281.01 |
| Rest of OregonOregon | — | $272.72 |
| Metropolitan Philadelphia, PAPennsylvania | — | $303.62 |
| Rest of PennsylvaniaPennsylvania | — | $283.72 |
| Puerto RicoPuerto Rico | — | $288.05 |
| Rhode IslandRhode Island | — | $287.65 |
| South CarolinaSouth Carolina | — | $278.82 |
| South DakotaSouth Dakota | — | $253.32 |
| TennesseeTennessee | — | $261.84 |
| Austin, TXTexas | — | $284.33 |
| Beaumont, TXTexas | — | $282.68 |
| Brazoria, TXTexas | — | $278.38 |
| Dallas, TXTexas | — | $282.85 |
| Fort Worth, TXTexas | — | $283.31 |
| Galveston, TXTexas | — | $280.98 |
| Houston, TXTexas | — | $310.08 |
| Rest of TexasTexas | — | $282.22 |
| UtahUtah | — | $281.74 |
| VirginiaVirginia | — | $272.57 |
| Virgin Islands, VIUnited States Virgin Islands | — | $288.05 |
| VermontVermont | — | $262.11 |
| Rest of WashingtonWashington | — | $279.90 |
| King County, WAWashington | — | $294.84 |
| WisconsinWisconsin | — | $250.84 |
| West VirginiaWest Virginia | — | $308.37 |
| WyomingWyoming | — | $274.78 |
34709 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,210
- Code
- 34709
- Physician work
- 6.34
- Practice expense
- 0.71
- Malpractice
- 1.59
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.34 | × 1.000 | 6.3400 |
| Practice expense | 0.71 | × 0.917 | 0.6511 |
| Malpractice | 1.59 | × 1.201 | 1.9096 |
| Total RVUs | 8.9007 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$297.29
Facility: (6.34 × 1 + 0.71 × 0.917 + 1.59 × 1.201) × $33.4009 = $297.29
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
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.
How 34709 has changed in New Mexico
34709 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2018
RVU18AR1
No ratechanged toNo rate
Held through RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $297.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $297.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $297.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $297.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $308.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $308.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $308.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $308.75 | RVU25A |
| 2024-10-01 | Not available in this setting | $317.52 | RVU24D |
| 2024-07-01 | Not available in this setting | $317.52 | RVU24C |
| 2024-04-01 | Not available in this setting | $317.52 | RVU24B |
| 2024-03-09 | Not available in this setting | $317.52 | RVU24AR |
| 2024-01-01 | Not available in this setting | $312.33 | RVU24A |
| 2023-10-01 | Not available in this setting | $322.54 | RVU23D |
| 2023-07-01 | Not available in this setting | $322.54 | RVU23C |
| 2023-04-01 | Not available in this setting | $322.54 | RVU23B |
| 2023-01-01 | Not available in this setting | $322.54 | RVU23A |
| 2022-10-01 | Not available in this setting | $330.27 | RVU22D |
| 2022-07-01 | Not available in this setting | $330.27 | RVU22C |
| 2022-04-01 | Not available in this setting | $330.27 | RVU22B |
| 2022-01-01 | Not available in this setting | $330.27 | RVU22A |
| 2021-10-01 | Not available in this setting | $332.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $332.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $332.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $332.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $346.46 | RVU20D |
| 2020-07-01 | Not available in this setting | $346.46 | RVU20C |
| 2020-04-01 | Not available in this setting | $346.46 | RVU20B |
| 2020-01-01 | Not available in this setting | $346.46 | RVU20A |
| 2019-10-01 | Not available in this setting | $346.88 | RVU19D |
| 2019-07-01 | Not available in this setting | $346.88 | RVU19C |
| 2019-04-01 | Not available in this setting | $346.88 | RVU19B |
| 2019-01-01 | Not available in this setting | $346.88 | RVU19A |
| 2018-10-01 | Not available in this setting | $345.80 | RVU18D |
| 2018-07-01 | Not available in this setting | $345.80 | RVU18C |
| 2018-04-01 | Not available in this setting | $345.80 | RVU18B |
| 2018-01-01 | Not available in this setting | $345.80 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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