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.
In Delaware, Medicare pays $584.73 for 34712 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Delaware · this page$584.73
- Los Angeles, CA · California$596.61+$11.88
- Washington, DC area · District of Columbia$644.80+$60.07
- Miami, FL · Florida$746.82+$162.09
- Chicago, IL · Illinois$723.00+$138.27
- Manhattan, NY · New York$692.99+$108.26
- Alaska · Alaska$752.50+$167.77
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $565.58 |
| Merced, CACalifornia | — | $565.58 |
| Modesto, CACalifornia | — | $565.58 |
| Napa, CACalifornia | — | $604.34 |
| Oxnard, CACalifornia | — | $587.44 |
| Redding, CACalifornia | — | $565.58 |
| Rest of CaliforniaCalifornia | — | $565.58 |
| Riverside, CACalifornia | — | $596.78 |
| Sacramento, CACalifornia | — | $580.10 |
| Salinas, CACalifornia | — | $577.72 |
| San Diego, CACalifornia | — | $581.83 |
| Marin County, CACalifornia | — | $621.82 |
| San Francisco, CACalifornia | — | $618.52 |
| San Benito County, CACalifornia | — | $638.56 |
| Santa Clara County, CACalifornia | — | $625.04 |
| San Luis Obispo, CACalifornia | — | $570.13 |
| Santa Cruz, CACalifornia | — | $579.74 |
| Santa Maria, CACalifornia | — | $577.29 |
| Santa Rosa, CACalifornia | — | $584.63 |
| Stockton, CACalifornia | — | $565.58 |
| Vallejo, CACalifornia | — | $599.57 |
| Visalia, CACalifornia | — | $565.58 |
| Yuba City, CACalifornia | — | $565.58 |
| ColoradoColorado | — | $584.05 |
| ConnecticutConnecticut | — | $630.25 |
| Fort Lauderdale, FLFlorida | — | $673.78 |
| Rest of FloridaFlorida | — | $638.10 |
| Atlanta, GAGeorgia | — | $616.27 |
| Rest of GeorgiaGeorgia | — | $601.09 |
| Hawaii, Guam, HIHawaii | — | $567.45 |
| IowaIowa | — | $526.26 |
| IdahoIdaho | — | $534.17 |
| East St. Louis, ILIllinois | — | $683.95 |
| Rest of IllinoisIllinois | — | $639.38 |
| Suburban Chicago, ILIllinois | — | $674.50 |
| IndianaIndiana | — | $536.18 |
| KansasKansas | — | $535.49 |
| KentuckyKentucky | — | $573.85 |
| New Orleans, LALouisiana | — | $600.84 |
| Rest of LouisianaLouisiana | — | $577.61 |
| Metropolitan Boston, MAMassachusetts | — | $619.74 |
| Rest of MassachusettsMassachusetts | — | $586.00 |
| Baltimore area, MDMaryland | — | $630.89 |
| Rest of MarylandMaryland | — | $591.08 |
| Rest of MaineMaine | — | $548.66 |
| Southern Maine, MEMaine | — | $557.05 |
| Detroit, MIMichigan | — | $656.84 |
| Rest of MichiganMichigan | — | $597.19 |
| MinnesotaMinnesota | — | $528.51 |
| Metropolitan Kansas City, MOMissouri | — | $585.17 |
| Metropolitan St. Louis, MOMissouri | — | $588.98 |
| Rest of MissouriMissouri | — | $576.73 |
| MississippiMississippi | — | $553.78 |
| MontanaMontana | — | $593.67 |
| North CarolinaNorth Carolina | — | $551.69 |
| North DakotaNorth Dakota | — | $536.13 |
| NebraskaNebraska | — | $525.26 |
| New HampshireNew Hampshire | — | $586.06 |
| Northern New JerseyNew Jersey | — | $642.04 |
| Rest of New JerseyNew Jersey | — | $628.67 |
| New MexicoNew Mexico | — | $604.62 |
| NevadaNevada | — | $577.74 |
| NYC suburbs and Long Island, NYNew York | — | $722.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $641.92 |
| Queens, NYNew York | — | $681.11 |
| Rest of New YorkNew York | — | $559.71 |
| OhioOhio | — | $585.43 |
| OklahomaOklahoma | — | $560.86 |
| Portland, OROregon | — | $586.99 |
| Rest of OregonOregon | — | $564.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $624.00 |
| Rest of PennsylvaniaPennsylvania | — | $579.84 |
| Puerto RicoPuerto Rico | — | $593.57 |
| Rhode IslandRhode Island | — | $594.29 |
| South CarolinaSouth Carolina | — | $571.24 |
| South DakotaSouth Dakota | — | $529.33 |
| TennesseeTennessee | — | $539.23 |
| Austin, TXTexas | — | $589.71 |
| Beaumont, TXTexas | — | $577.44 |
| Brazoria, TXTexas | — | $574.66 |
| Dallas, TXTexas | — | $583.16 |
| Fort Worth, TXTexas | — | $583.36 |
| Galveston, TXTexas | — | $579.54 |
| Houston, TXTexas | — | $632.80 |
| Rest of TexasTexas | — | $579.04 |
| UtahUtah | — | $577.60 |
| VirginiaVirginia | — | $563.49 |
| Virgin Islands, VIUnited States Virgin Islands | — | $593.57 |
| VermontVermont | — | $544.79 |
| Rest of WashingtonWashington | — | $581.33 |
| King County, WAWashington | — | $619.66 |
| WisconsinWisconsin | — | $522.16 |
| West VirginiaWest Virginia | — | $621.89 |
| WyomingWyoming | — | $568.60 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.70 | × 1.005 | 11.7585 |
| Practice expense | 3.17 | × 0.988 | 3.1320 |
| Malpractice | 2.91 | × 0.899 | 2.6161 |
| Total RVUs | 17.5065 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share 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.
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%).
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.
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
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.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $584.73 | RVU26D |
| 2026-07-01 | Not available in this setting | $584.73 | RVU26C |
| 2026-04-01 | Not available in this setting | $584.73 | RVU26B |
| 2026-01-01 | Not available in this setting | $584.73 | RVU26A |
| 2025-10-01 | Not available in this setting | $619.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $619.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $619.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $619.65 | RVU25A |
| 2024-10-01 | Not available in this setting | $636.70 | RVU24D |
| 2024-07-01 | Not available in this setting | $636.70 | RVU24C |
| 2024-04-01 | Not available in this setting | $636.70 | RVU24B |
| 2024-03-09 | Not available in this setting | $636.70 | RVU24AR |
| 2024-01-01 | Not available in this setting | $626.31 | RVU24A |
| 2023-10-01 | Not available in this setting | $647.62 | RVU23D |
| 2023-07-01 | Not available in this setting | $647.62 | RVU23C |
| 2023-04-01 | Not available in this setting | $647.62 | RVU23B |
| 2023-01-01 | Not available in this setting | $647.62 | RVU23A |
| 2022-10-01 | Not available in this setting | $661.95 | RVU22D |
| 2022-07-01 | Not available in this setting | $661.95 | RVU22C |
| 2022-04-01 | Not available in this setting | $661.95 | RVU22B |
| 2022-01-01 | Not available in this setting | $661.95 | RVU22A |
| 2021-10-01 | Not available in this setting | $667.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $667.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $667.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $667.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $701.17 | RVU20D |
| 2020-07-01 | Not available in this setting | $701.17 | RVU20C |
| 2020-04-01 | Not available in this setting | $701.17 | RVU20B |
| 2020-01-01 | Not available in this setting | $701.17 | RVU20A |
| 2019-10-01 | Not available in this setting | $732.54 | RVU19D |
| 2019-07-01 | Not available in this setting | $732.54 | RVU19C |
| 2019-04-01 | Not available in this setting | $732.54 | RVU19B |
| 2019-01-01 | Not available in this setting | $732.54 | RVU19A |
| 2018-10-01 | Not available in this setting | $732.29 | RVU18D |
| 2018-07-01 | Not available in this setting | $732.29 | RVU18C |
| 2018-04-01 | Not available in this setting | $732.29 | RVU18B |
| 2018-01-01 | Not available in this setting | $732.29 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
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
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