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 RVU26DEffective Oct 1, 202629 payment localities321 Medicare services in 2024

CMS doesn’t publish an office rate for 34711 in California.

—Office (non-facility)
$246.82–$271.93Hospital or facility

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 9 sections
  1. Rate in California
  2. What 34711 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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

34711 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailable$250.77
Chico, CAUnavailable$246.82
El Centro, CAUnavailable$247.06
Fresno, CAUnavailable$246.82
Hanford, CAUnavailable$246.82
Los Angeles, CAUnavailable$259.49
Madera, CAUnavailable$246.82
Marin County, CAUnavailable$264.60
Merced, CAUnavailable$246.82
Modesto, CAUnavailable$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

Office or facility?

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

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

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.

When to use modifier 80

34711 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 34711

    Endograft extension, delayed, additional vessel5.85 wRVU

    Not priced

  • 34710

    Graft extension, delayed, initial vessel14.63 wRVU

    Not priced

  • 34709

    Endograft extension, during initial repair6.34 wRVU

    Not priced

  • 34701

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

    Not priced

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

Show the CMS file lines behind this rate
RVUs for 34711PPRRVU2026_Oct_nonQPP.csv, line 4,213 (RVU26D)

Open CMS sourceHow we calculate rates

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