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

In Virginia, Medicare pays $272.57 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.

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 Virginia 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. Virginia pays $272.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

34709 rates by state

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

See 34709 in every payment locality

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.

Payment rules and modifiers for 34709

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

What modifiers do to the payment

When to use modifier 80

Codes related to 34709

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

How 34709 has changed in Virginia

Price 34709 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates