CPT code 34713: Femoral access, percutaneous, large-bore2026 Medicare rate & RVUs in California
Reports percutaneous femoral artery access and closure for delivery of a large-bore endovascular prosthesis during an aortic or iliac repair.
CMS doesn’t publish an office rate for 34713 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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On this page 9 sections
What 34713 covers
Code 34713 represents percutaneous access through a femoral artery and closure of that access site for delivery of an endovascular prosthesis using a sheath 12 Fr or larger. Vascular surgeons and other endovascular specialists typically perform this work in the operating room or an endovascular suite during aortic or iliac endograft repair. Ultrasound guidance, when performed for the access, is included in the service.
Report 34713 only as an add-on with the primary endovascular repair; it is paid within that procedure’s global period. Documentation should support percutaneous femoral access, the large-bore sheath used for prosthesis delivery, and closure of the access site. Do not select it for open femoral exposure, which is represented by a different access code. For bilateral access, report modifier 50; CMS pays the bilateral procedure at 150% of the single-side payment.
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 34713 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 | $104.77 |
| Chico, CA | Unavailable | $103.14 |
| El Centro, CA | Unavailable | $103.24 |
| Fresno, CA | Unavailable | $103.14 |
| Hanford, CA | Unavailable | $103.14 |
| Los Angeles, CA | Unavailable | $108.42 |
| Madera, CA | Unavailable | $103.14 |
| Marin County, CA | Unavailable | $110.68 |
| Merced, CA | Unavailable | $103.14 |
| Modesto, CA | Unavailable | $103.14 |
| Napa, CA | Unavailable | $108.26 |
| Oxnard, CA | Unavailable | $106.53 |
| Redding, CA | Unavailable | $103.14 |
| Rest of California | Unavailable | $103.14 |
| Riverside, CA | Unavailable | $109.58 |
| Sacramento, CA | Unavailable | $105.27 |
| Salinas, CA | Unavailable | $104.83 |
| San Benito County, CA | Unavailable | $113.73 |
| San Diego, CA | Unavailable | $105.19 |
| San Francisco, CA | Unavailable | $110.00 |
| San Luis Obispo, CA | Unavailable | $103.52 |
| Santa Clara County, CA | Unavailable | $110.94 |
| Santa Cruz, CA | Unavailable | $104.50 |
| Santa Maria, CA | Unavailable | $104.65 |
| Santa Rosa, CA | Unavailable | $105.35 |
| Stockton, CA | Unavailable | $103.14 |
| Vallejo, CA | Unavailable | $107.28 |
| Visalia, CA | Unavailable | $103.14 |
| Yuba City, CA | Unavailable | $103.14 |
How the 34713 rate is calculated
Each of 34713’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 · 34713
RVUs × geographic indexes × conversion factor
Work2.44
2.44 RVUs× 1.000 GPCI
Practice expense0.26
0.26 RVUs× 1.000 GPCI
Malpractice0.60
0.60 RVUs× 1.000 GPCI
Adjusted RVUs
3.3000
Conversion factor
$33.4009
Medicare rate
$110.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34713
The CMS indicators that decide how 34713 is paid alongside other services.
CMS payment indicators · 34713
Femoral access, percutaneous, large-bore
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
34713 without 50 · national facility
$110.22
Femoral access, percutaneous, large-bore
34713-50 · Bilateral: 150%
$165.33
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
34713 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 34714Femoral accessOpen exposure with conduit
- 34713 is for percutaneous femoral access and closure with a sheath 12 Fr or larger. Choose 34714 when the femoral artery is exposed openly and a conduit is created.
- 34701Aortic endograft repairAorto-aortic tube graft
- 34701 reports the primary infrarenal aorto-aortic endovascular repair. Code 34713 reports qualifying percutaneous femoral access and closure as an add-on, not the repair itself.
- 34705Aortic endograft repairAorto-bi-iliac configuration
- 34705 reports the primary infrarenal aorto-bi-iliac endovascular repair. Code 34713 separately identifies qualifying percutaneous femoral access and closure performed for prosthesis delivery.
34713 billing questions
When should 34713 be chosen instead of 34714?
Use 34713 for percutaneous femoral artery access and closure with a sheath 12 Fr or larger. Code 34714 represents open femoral artery exposure and conduit creation.
Can 34713 be reported by itself?
No. It is an add-on code and must be reported with the primary endovascular repair procedure.
Is ultrasound guidance separately reported with 34713?
Ultrasound guidance for the access, when performed, is included in 34713.
How is bilateral femoral access reported?
Report modifier 50 for bilateral access. CMS pays the bilateral procedure at 150% of the single-side payment.
What documentation supports reporting 34713?
Document percutaneous femoral access, the sheath size used to deliver the prosthesis, and closure of the access site, along with the primary endovascular repair.
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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