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

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

CMS RVU26DEffective Oct 1, 2026One payment locality975 Medicare services in 2024

In Delaware, Medicare pays $584.73 for 34712 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$584.73Hospital or facility

Check a contract rate as a % of Medicare · 34712 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 34712 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 34712 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Delaware compares for 34712

Across 109 of 109 payment localities, the facility rate for 34712 runs from $522.16 in Wisconsin to $752.50 in Alaska. Delaware pays $584.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

34712 in Delaware vs other payment areas
  1. Delaware · this page$584.73
  2. Los Angeles, CA · California$596.61+$11.88
  3. Washington, DC area · District of Columbia$644.80+$60.07
  4. Miami, FL · Florida$746.82+$162.09
  5. Chicago, IL · Illinois$723.00+$138.27
  6. Manhattan, NY · New York$692.99+$108.26
  7. Alaska · Alaska$752.50+$167.77

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

34712 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$538.45
ArkansasArkansas—$531.80
ArizonaArizona—$576.59
Bakersfield, CACalifornia—$573.45
Chico, CACalifornia—$565.58
El Centro, CACalifornia—$566.06
Fresno, CACalifornia—$565.58
Hanford, CACalifornia—$565.58

34712 rates by state

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

Explore a state

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

See 34712 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,214

Code
34712
Physician work
11.70
Practice expense
3.17
Malpractice
2.91

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 34712 in Delaware
ComponentRVULocality factorAdjusted
Physician work11.70× 1.00511.7585
Practice expense3.17× 0.9883.1320
Malpractice2.91× 0.8992.6161
Total RVUs17.5065
Conversion factor× 33.4009

Facility rate, Delaware$584.73

Facility: (11.7 × 1.005 + 3.17 × 0.988 + 2.91 × 0.899) × $33.4009 = $584.73

Open 34712 in the RVU calculator

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

How 34712 has changed in Delaware

34712 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2018

    RVU18AR1

    No ratechanged toNo rate

    Held through RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$584.73RVU26D
2026-07-01Not available in this setting$584.73RVU26C
2026-04-01Not available in this setting$584.73RVU26B
2026-01-01Not available in this setting$584.73RVU26A
2025-10-01Not available in this setting$619.65RVU25D
2025-07-01Not available in this setting$619.65RVU25C
2025-04-01Not available in this setting$619.65RVU25B
2025-01-01Not available in this setting$619.65RVU25A
2024-10-01Not available in this setting$636.70RVU24D
2024-07-01Not available in this setting$636.70RVU24C
2024-04-01Not available in this setting$636.70RVU24B
2024-03-09Not available in this setting$636.70RVU24AR
2024-01-01Not available in this setting$626.31RVU24A
2023-10-01Not available in this setting$647.62RVU23D
2023-07-01Not available in this setting$647.62RVU23C
2023-04-01Not available in this setting$647.62RVU23B
2023-01-01Not available in this setting$647.62RVU23A
2022-10-01Not available in this setting$661.95RVU22D
2022-07-01Not available in this setting$661.95RVU22C
2022-04-01Not available in this setting$661.95RVU22B
2022-01-01Not available in this setting$661.95RVU22A
2021-10-01Not available in this setting$667.87RVU21D
2021-07-01Not available in this setting$667.87RVU21C
2021-04-01Not available in this setting$667.87RVU21B
2021-01-01Not available in this setting$667.87RVU21A
2020-10-01Not available in this setting$701.17RVU20D
2020-07-01Not available in this setting$701.17RVU20C
2020-04-01Not available in this setting$701.17RVU20B
2020-01-01Not available in this setting$701.17RVU20A
2019-10-01Not available in this setting$732.54RVU19D
2019-07-01Not available in this setting$732.54RVU19C
2019-04-01Not available in this setting$732.54RVU19B
2019-01-01Not available in this setting$732.54RVU19A
2018-10-01Not available in this setting$732.29RVU18D
2018-07-01Not available in this setting$732.29RVU18C
2018-04-01Not available in this setting$732.29RVU18B
2018-01-01Not available in this setting$732.29RVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 34712 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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