CPT code 34711: Endograft extension, delayed, additional vessel2026 Medicare rate & RVUs in California
Reports delayed placement of an endograft extension in each additional vessel after endovascular repair of an aortic or iliac aneurysm, pseudoaneurysm, or dissection.
CMS doesn’t publish an office rate for 34711 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 34711 covers
This code captures delayed placement of an additional proximal or distal endograft extension in a vessel after an endovascular aortic or iliac repair. The intervention extends the existing repair when another vessel requires an extension; it is not the code for an extension placed during the initial repair. Vascular surgeons and endovascular specialists typically perform the procedure in an operating room or hybrid suite, using imaging to guide device placement.
Report 34711 for each additional vessel beyond the first vessel represented by 34710. The record should identify the prior repair, the vessels treated, the delayed extension placement, and which vessel is the first versus each additional vessel. As an add-on code, 34711 must be billed with a primary procedure and is paid within that procedure's global period. The code cannot stand alone; pair it with the applicable primary procedure and the first-vessel code when multiple vessels are treated.
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 34711 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $250.77 |
| Chico, CA | Unavailable | $246.82 |
| El Centro, CA | Unavailable | $247.06 |
| Fresno, CA | Unavailable | $246.82 |
| Hanford, CA | Unavailable | $246.82 |
| Los Angeles, CA | Unavailable | $259.49 |
| Madera, CA | Unavailable | $246.82 |
| Marin County, CA | Unavailable | $264.60 |
| Merced, CA | Unavailable | $246.82 |
| Modesto, CA | Unavailable | $246.82 |
| Napa, CA | Unavailable | $258.89 |
| Oxnard, CA | Unavailable | $254.94 |
| Redding, CA | Unavailable | $246.82 |
| Rest of California | Unavailable | $246.82 |
| Riverside, CA | Unavailable | $262.47 |
| Sacramento, CA | Unavailable | $251.87 |
| Salinas, CA | Unavailable | $250.82 |
| San Benito County, CA | Unavailable | $271.93 |
| San Diego, CA | Unavailable | $251.66 |
| San Francisco, CA | Unavailable | $262.94 |
| San Luis Obispo, CA | Unavailable | $247.68 |
| Santa Clara County, CA | Unavailable | $265.15 |
| Santa Cruz, CA | Unavailable | $249.99 |
| Santa Maria, CA | Unavailable | $250.37 |
| Santa Rosa, CA | Unavailable | $252.01 |
| Stockton, CA | Unavailable | $246.82 |
| Vallejo, CA | Unavailable | $256.50 |
| Visalia, CA | Unavailable | $246.82 |
| Yuba City, CA | Unavailable | $246.82 |
How the 34711 rate is calculated
Each of 34711’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 · 34711
RVUs × geographic indexes × conversion factor
Work5.85
5.85 RVUs× 1.000 GPCI
Practice expense0.60
0.60 RVUs× 1.000 GPCI
Malpractice1.46
1.46 RVUs× 1.000 GPCI
Adjusted RVUs
7.9100
Conversion factor
$33.4009
Medicare rate
$264.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34711
The CMS indicators that decide how 34711 is paid alongside other services.
CMS payment indicators · 34711
Endograft extension, delayed, additional vessel
| 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
34711 without 80 · national facility
$264.20
Endograft extension, delayed, additional vessel
34711-80 · Assistant: 16%
$42.27
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
34711 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 34710Graft extensionDelayed, initial vessel
- 34710 represents delayed extension placement in the first vessel; 34711 reports each additional vessel.
- 34709Endograft extensionDuring initial repair
- Use 34709 for extension placement during the initial endovascular repair. Use 34711 for an additional vessel when extension placement is delayed.
- 34701Aortic endograft repairAorto-aortic tube graft
- 34701 reports the aorto-aortic endovascular repair itself. It does not identify delayed extension placement in an additional vessel.
34711 billing questions
How does 34711 differ from 34710?
34710 represents delayed extension placement in the first vessel. Use 34711 for each additional vessel treated.
Can 34711 be billed by itself?
No. It is an add-on code and must be reported with a primary procedure. When more than one vessel is treated, report 34710 for the first vessel and 34711 for each additional vessel.
How is 34711 distinguished from 34709?
34711 describes delayed extension placement after the initial endovascular repair. 34709 is for extension placement as part of the endovascular repair itself.
What documentation supports additional units?
Document the vessels treated and the extension placed in each. The record should make clear which vessel is represented by 34710 and which additional vessel or vessels support 34711.
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
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