CPT code 34710: Graft extension, delayed, initial vessel2026 Medicare rate & RVUs

Reports delayed placement of an endovascular graft extension after prior infrarenal aortic or iliac repair, for the first treated vessel.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $722.46 for 34710 nationally in a facility.

Medicare rate · 34710

Graft extension, delayed, initial vessel

Office or facility?

Work RVUs
14.63
Total RVUs
21.63
Global days
090

National rate · 2026

$722.46

Facility setting, before claim adjustments.

See every locality for 34710 →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 34710 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 34710 covers

This service covers a later procedure to place an extension prosthesis after endovascular repair of the infrarenal aorta or an iliac artery. The extension may address a seal problem or endoleak after the original repair. The vascular surgeon uses imaging to assess the target zone, measure the vessel, and guide placement; the code includes associated radiological supervision and interpretation. It is reported for the initial vessel treated in the delayed procedure, not for extension placement performed as part of the original repair.

The operative report should identify the prior endovascular repair, the reason for the delayed extension, the vessel treated, and the imaging and placement performed. Report 34711 for each additional vessel treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team surgery is not permitted. The code is not adjusted bilaterally, and modifier 50 is inappropriate.

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 34710 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

34710 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$655.56
AlaskaUnavailable$919.32
ArizonaUnavailable$701.44
ArkansasUnavailable$647.56
Atlanta, GAUnavailable$750.22
Austin, TXUnavailable$716.03
Bakersfield, CAUnavailable$694.82
Baltimore area, MDUnavailable$767.34
Beaumont, TXUnavailable$703.74
Brazoria, TXUnavailable$698.54

34710 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.

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34710 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 34710 rate is calculated

Each of 34710’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 · 34710

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.63

14.63 RVUs× 1.000 GPCI

Practice expense3.35

3.35 RVUs× 1.000 GPCI

Malpractice3.65

3.65 RVUs× 1.000 GPCI

Adjusted RVUs

21.6300

Conversion factor

$33.4009

Medicare rate

$722.46

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

Payment rules and modifiers for 34710

34710 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34710

Graft extension, delayed, initial vessel

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)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.
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 · 34710

Graft extension, delayed, initial vessel

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 51 · payment effect

With and without the modifier

34710 without 51 · national facility

$722.46

Graft extension, delayed, initial vessel

34710-51 · Second procedure: 50%

$361.23

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

34710 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 34710

    Graft extension, delayed, initial vessel14.63 wRVU

    Not priced

  • 34709

    Endograft extension, during initial repair6.34 wRVU

    Not priced

  • 34711

    Endograft extension, delayed, additional vessel5.85 wRVU

    Not priced

  • 34701

    Aortic endograft repair, aorto-aortic tube graft23.12 wRVU

    Not priced

  • 34705

    Aortic endograft repair, aorto-bi-iliac configuration28.84 wRVU

    Not priced

How to choose

34709Endograft extensionDuring initial repair
Use 34709 for extension placement performed during the original endovascular repair. Use 34710 when the extension is placed in a later procedure after a prior repair.
34711Endograft extensionDelayed, additional vessel
34710 covers the initial vessel in the delayed procedure; 34711 is the add-on for each additional vessel treated.
34701Aortic endograft repairAorto-aortic tube graft
34701 reports initial endovascular repair of the infrarenal aorta without graft placement. It does not describe a later extension procedure.
34705Aortic endograft repairAorto-bi-iliac configuration
34705 reports initial infrarenal aortic repair with an aorto-bi-iliac graft; 34710 is for delayed extension placement following a prior repair.

34710 billing questions

How does 34710 differ from 34709?

34710 is for delayed extension placement after a prior endovascular repair. 34709 describes extension placement performed in conjunction with the endovascular repair.

When is 34711 reported with 34710?

Report 34710 for the initial vessel and 34711 for each additional vessel treated during the delayed extension procedure.

Are imaging and radiological interpretation separately reported?

The code includes associated radiological supervision and interpretation, target-zone assessment, vessel measurement, and imaging guidance when performed.

Does modifier 50 apply when extensions are placed on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; use the initial-vessel and additional-vessel coding structure when applicable.

What documentation supports delayed placement?

Document the prior endovascular repair, the clinical reason for the later extension, the vessel treated, and the imaging assessment and graft placement performed.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

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 34710PPRRVU2026_Oct_nonQPP.csv, line 4,212 (RVU26D)

Open CMS sourceHow we calculate rates

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