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CPT code 34712: Graft fixation, enhanced fixation device2026 Medicare rate & RVUs

Reports catheter-based delivery of enhanced fixation devices during endovascular repair of an infrarenal aortic aneurysm or dissection.

CMS RVU26DEffective Oct 1, 2026109 payment localities975 Medicare services in 2024

Medicare pays $593.87 for 34712 nationally in a facility.

Medicare rate · 34712

Graft fixation, enhanced fixation device

Office or facility?

Work RVUs
11.7
Total RVUs
17.78
Global days
090

National rate · 2026

$593.87

Facility setting, before claim adjustments.

See every locality for 34712 →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 34712 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 34712 covers

This service covers catheter-based placement of enhanced fixation devices to secure an aortic endograft during endovascular repair of an infrarenal abdominal aortic aneurysm or dissection. The devices reinforce graft attachment to the aortic wall. Vascular surgeons and other physicians performing endovascular aortic repair typically deliver them in an operating room or hybrid suite, using imaging guidance as needed.

Report 34712 for the fixation-device delivery performed at the time of the aortic repair, not for placement of an extension graft or for the repair itself. Documentation should identify the repair, the fixation-device delivery, and its clinical purpose. The CMS global period is 90 days and includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment and co-surgeon reporting are permitted; team surgery is not permitted.

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 34712 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

34712 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$538.45
AlaskaUnavailable$752.50
ArizonaUnavailable$576.59
ArkansasUnavailable$531.80
Atlanta, GAUnavailable$616.27
Austin, TXUnavailable$589.71
Bakersfield, CAUnavailable$573.45
Baltimore area, MDUnavailable$630.89
Beaumont, TXUnavailable$577.44
Brazoria, TXUnavailable$574.66

34712 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.

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
34712 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 34712 rate is calculated

Each of 34712’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 · 34712

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.70

11.70 RVUs× 1.000 GPCI

Practice expense3.17

3.17 RVUs× 1.000 GPCI

Malpractice2.91

2.91 RVUs× 1.000 GPCI

Adjusted RVUs

17.7800

Conversion factor

$33.4009

Medicare rate

$593.87

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

Payment rules and modifiers for 34712

34712 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34712

Graft fixation, enhanced fixation device

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 · 34712

Graft fixation, enhanced fixation device

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

34712 without 51 · national facility

$593.87

Graft fixation, enhanced fixation device

34712-51 · Second procedure: 50%

$296.94

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

34712 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 34712

    Graft fixation, enhanced fixation device11.7 wRVU

    Not priced

  • 34709

    Endograft extension, during initial repair6.34 wRVU

    Not priced

  • 34710

    Graft extension, delayed, initial vessel14.63 wRVU

    Not priced

  • 34713

    Femoral access, percutaneous, large-bore2.44 wRVU

    Not priced

How to choose

34709Endograft extensionDuring initial repair
34709 describes placement of an endograft extension; 34712 describes delivery of fixation devices that secure the graft.
34710Graft extensionDelayed, initial vessel
34710 covers delayed placement of an extension prosthesis. 34712 concerns fixation-device delivery during the endovascular aortic repair.
34713Femoral accessPercutaneous, large-bore
34713 describes percutaneous femoral artery access and closure. It does not represent the aortic graft fixation-device delivery reported with 34712.

Codes related to 34712

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

Codes related to 34712
CodeHow it relatesNational office range
Often billed with
34701Aortic endograft repair, aorto-aortic tube graftEndovascular infrarenal aortic repair that may accompany fixation-device delivery.No office rate
34703Aortic endograft repair, one iliac arteryAorto-unilateral iliac endograft repair that may accompany fixation-device delivery.No office rate
34705Aortic endograft repair, aorto-bi-iliac configurationAorto-bi-iliac endograft repair that may accompany fixation-device delivery.No office rate
34709Endograft extension, during initial repairPlacement of an extension prosthesis when the repair also requires a graft extension.No office rate
34713Femoral access, percutaneous, large-borePercutaneous femoral artery access and closure may be performed during the same endovascular repair.No office rate

34712 billing questions

How is 34712 different from an aortic extension graft code?

34712 describes delivery of enhanced fixation devices to secure the endograft. An extension-graft code describes placement of an additional graft segment to extend or modify the repair.

Can 34712 be reported without an endovascular aortic repair?

The service is defined for delivery of fixation devices at the time of endovascular repair of an infrarenal aortic aneurysm or dissection. Document the associated repair and the device delivery.

Is imaging guidance separately included in this service?

Radiological supervision and interpretation associated with the fixation-device delivery are included when performed.

What documentation supports reporting 34712?

The operative report should identify the infrarenal aortic repair, the enhanced fixation-device delivery, and why the devices were used to secure the endograft.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery payment and co-surgeon reporting for this code. Team surgery is not permitted.

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 34712PPRRVU2026_Oct_nonQPP.csv, line 4,214 (RVU26D)

Open CMS sourceHow we calculate rates

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