CPT code 34714: Femoral access, open exposure with conduit2026 Medicare rate & RVUs in Puerto Rico
Reports open femoral artery exposure and conduit creation to deliver an endovascular prosthesis during a qualifying vascular repair.
In Puerto Rico, Medicare pays $244.87 for 34714 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 34714 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 34714 covers
The surgeon exposes the femoral artery through a groin incision and creates a conduit to accommodate delivery of an endovascular prosthesis. Vascular surgeons typically perform this access work in an operating room or hybrid suite when the planned device delivery requires surgically created arterial access. The service is distinct from access obtained percutaneously and from open exposure that does not include conduit creation.
Report 34714 as an add-on with the applicable primary endovascular repair, not as a stand-alone service. The operative note should identify the side, open exposure, conduit creation, and the primary repair performed. CMS treats payment as part of the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% of the unilateral 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.
How Puerto Rico compares for 34714
Across 109 of 109 payment localities, the facility rate for 34714 runs from $214.26 in Wisconsin to $313.51 in Alaska. Puerto Rico pays $244.87. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$244.87
- Los Angeles, CA · California$243.55−$1.32
- Washington, DC area · District of Columbia$264.82+$19.95
- Miami, FL · Florida$311.82+$66.95
- Chicago, IL · Illinois$301.88+$57.01
- Manhattan, NY · New York$286.25+$41.38
- Alaska · Alaska$313.51+$68.64
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $222.68 |
| ArkansasArkansas | — | $220.00 |
| ArizonaArizona | — | $238.03 |
| Bakersfield, CACalifornia | — | $234.71 |
| Chico, CACalifornia | — | $231.25 |
| El Centro, CACalifornia | — | $231.46 |
| Fresno, CACalifornia | — | $231.25 |
| Hanford, CACalifornia | — | $231.25 |
| Madera, CACalifornia | — | $231.25 |
| Merced, CACalifornia | — | $231.25 |
| Modesto, CACalifornia | — | $231.25 |
| Napa, CACalifornia | — | $244.89 |
| Oxnard, CACalifornia | — | $239.55 |
| Redding, CACalifornia | — | $231.25 |
| Rest of CaliforniaCalifornia | — | $231.25 |
| Riverside, CACalifornia | — | $244.97 |
| Sacramento, CACalifornia | — | $236.60 |
| Salinas, CACalifornia | — | $235.62 |
| San Diego, CACalifornia | — | $236.87 |
| Marin County, CACalifornia | — | $251.15 |
| San Francisco, CACalifornia | — | $249.70 |
| San Benito County, CACalifornia | — | $258.01 |
| Santa Clara County, CACalifornia | — | $252.07 |
| San Luis Obispo, CACalifornia | — | $232.60 |
| Santa Cruz, CACalifornia | — | $235.67 |
| Santa Maria, CACalifornia | — | $235.33 |
| Santa Rosa, CACalifornia | — | $237.61 |
| Stockton, CACalifornia | — | $231.25 |
| Vallejo, CACalifornia | — | $242.79 |
| Visalia, CACalifornia | — | $231.25 |
| Yuba City, CACalifornia | — | $231.25 |
| ColoradoColorado | — | $239.86 |
| ConnecticutConnecticut | — | $259.98 |
| DelawareDelaware | — | $241.32 |
| Fort Lauderdale, FLFlorida | — | $280.12 |
| Rest of FloridaFlorida | — | $265.29 |
| Atlanta, GAGeorgia | — | $254.77 |
| Rest of GeorgiaGeorgia | — | $249.98 |
| Hawaii, Guam, HIHawaii | — | $231.46 |
| IowaIowa | — | $216.71 |
| IdahoIdaho | — | $220.12 |
| East St. Louis, ILIllinois | — | $286.00 |
| Rest of IllinoisIllinois | — | $266.50 |
| Suburban Chicago, ILIllinois | — | $280.21 |
| IndianaIndiana | — | $220.90 |
| KansasKansas | — | $220.94 |
| KentuckyKentucky | — | $238.04 |
| New Orleans, LALouisiana | — | $249.12 |
| Rest of LouisianaLouisiana | — | $239.76 |
| Metropolitan Boston, MAMassachusetts | — | $253.56 |
| Rest of MassachusettsMassachusetts | — | $240.88 |
| Baltimore area, MDMaryland | — | $260.32 |
| Rest of MarylandMaryland | — | $243.74 |
| Rest of MaineMaine | — | $226.49 |
| Southern Maine, MEMaine | — | $229.10 |
| Detroit, MIMichigan | — | $273.39 |
| Rest of MichiganMichigan | — | $247.95 |
| MinnesotaMinnesota | — | $215.97 |
| Metropolitan Kansas City, MOMissouri | — | $242.26 |
| Metropolitan St. Louis, MOMissouri | — | $243.74 |
| Rest of MissouriMissouri | — | $239.72 |
| MississippiMississippi | — | $229.64 |
| MontanaMontana | — | $245.08 |
| North CarolinaNorth Carolina | — | $227.63 |
| North DakotaNorth Dakota | — | $219.77 |
| NebraskaNebraska | — | $216.15 |
| New HampshireNew Hampshire | — | $241.11 |
| Northern New JerseyNew Jersey | — | $263.87 |
| Rest of New JerseyNew Jersey | — | $259.04 |
| New MexicoNew Mexico | — | $251.15 |
| NevadaNevada | — | $238.05 |
| NYC suburbs and Long Island, NYNew York | — | $298.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $264.82 |
| Queens, NYNew York | — | $280.72 |
| Rest of New YorkNew York | — | $230.90 |
| OhioOhio | — | $242.77 |
| OklahomaOklahoma | — | $232.27 |
| Portland, OROregon | — | $240.44 |
| Rest of OregonOregon | — | $232.34 |
| Metropolitan Philadelphia, PAPennsylvania | — | $257.78 |
| Rest of PennsylvaniaPennsylvania | — | $240.24 |
| Rhode IslandRhode Island | — | $244.83 |
| South CarolinaSouth Carolina | — | $236.36 |
| South DakotaSouth Dakota | — | $216.77 |
| TennesseeTennessee | — | $222.51 |
| Austin, TXTexas | — | $242.45 |
| Beaumont, TXTexas | — | $239.30 |
| Brazoria, TXTexas | — | $236.84 |
| Dallas, TXTexas | — | $240.51 |
| Fort Worth, TXTexas | — | $240.75 |
| Galveston, TXTexas | — | $238.96 |
| Houston, TXTexas | — | $262.39 |
| Rest of TexasTexas | — | $239.41 |
| UtahUtah | — | $238.92 |
| VirginiaVirginia | — | $232.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $244.87 |
| VermontVermont | — | $223.73 |
| Rest of WashingtonWashington | — | $238.83 |
| King County, WAWashington | — | $253.02 |
| WisconsinWisconsin | — | $214.26 |
| West VirginiaWest Virginia | — | $259.48 |
| WyomingWyoming | — | $234.05 |
34714 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 34714 rate is calculated
Each of 34714’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 · 34714
RVUs × geographic indexes × conversion factor
Work5.12
5.12 RVUs× 1.000 GPCI
Practice expense0.94
0.94 RVUs× 1.000 GPCI
Malpractice1.28
1.28 RVUs× 1.000 GPCI
Adjusted RVUs
7.3400
Conversion factor
$33.4009
Medicare rate
$245.16
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,216
- Code
- 34714
- Physician work
- 5.12
- Practice expense
- 0.94
- Malpractice
- 1.28
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.12 | × 1.000 | 5.1200 |
| Practice expense | 0.94 | × 1.011 | 0.9503 |
| Malpractice | 1.28 | × 0.985 | 1.2608 |
| Total RVUs | 7.3311 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$244.87
Facility: (5.12 × 1 + 0.94 × 1.011 + 1.28 × 0.985) × $33.4009 = $244.87
Payment rules and modifiers for 34714
The CMS indicators that decide how 34714 is paid alongside other services.
CMS payment indicators · 34714
Femoral access, open exposure with conduit
| 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
34714 without 50 · national facility
$245.16
Femoral access, open exposure with conduit
34714-50 · Bilateral: 150%
$367.74
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).
How 34714 has changed in Puerto Rico
34714 · 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 | $244.87 | RVU26D |
| 2026-07-01 | Not available in this setting | $244.87 | RVU26C |
| 2026-04-01 | Not available in this setting | $244.87 | RVU26B |
| 2026-01-01 | Not available in this setting | $244.87 | RVU26A |
| 2025-10-01 | Not available in this setting | $254.79 | RVU25D |
| 2025-07-01 | Not available in this setting | $254.79 | RVU25C |
| 2025-04-01 | Not available in this setting | $254.79 | RVU25B |
| 2025-01-01 | Not available in this setting | $254.79 | RVU25A |
| 2024-10-01 | Not available in this setting | $261.53 | RVU24D |
| 2024-07-01 | Not available in this setting | $261.53 | RVU24C |
| 2024-04-01 | Not available in this setting | $261.53 | RVU24B |
| 2024-03-09 | Not available in this setting | $261.53 | RVU24AR |
| 2024-01-01 | Not available in this setting | $257.26 | RVU24A |
| 2023-10-01 | Not available in this setting | $265.71 | RVU23D |
| 2023-07-01 | Not available in this setting | $266.01 | RVU23C |
| 2023-04-01 | Not available in this setting | $266.01 | RVU23B |
| 2023-01-01 | Not available in this setting | $266.01 | RVU23A |
| 2022-10-01 | Not available in this setting | $272.47 | RVU22D |
| 2022-07-01 | Not available in this setting | $272.47 | RVU22C |
| 2022-04-01 | Not available in this setting | $272.47 | RVU22B |
| 2022-01-01 | Not available in this setting | $272.47 | RVU22A |
| 2021-10-01 | Not available in this setting | $274.06 | RVU21D |
| 2021-07-01 | Not available in this setting | $274.06 | RVU21C |
| 2021-04-01 | Not available in this setting | $274.06 | RVU21B |
| 2021-01-01 | Not available in this setting | $274.06 | RVU21A |
| 2020-10-01 | Not available in this setting | $283.91 | RVU20D |
| 2020-07-01 | Not available in this setting | $283.91 | RVU20C |
| 2020-04-01 | Not available in this setting | $283.91 | RVU20B |
| 2020-01-01 | Not available in this setting | $283.91 | RVU20A |
| 2019-10-01 | Not available in this setting | $282.56 | RVU19D |
| 2019-07-01 | Not available in this setting | $282.56 | RVU19C |
| 2019-04-01 | Not available in this setting | $282.56 | RVU19B |
| 2019-01-01 | Not available in this setting | $282.56 | RVU19A |
| 2018-10-01 | Not available in this setting | $282.62 | RVU18D |
| 2018-07-01 | Not available in this setting | $282.62 | RVU18C |
| 2018-04-01 | Not available in this setting | $282.62 | RVU18B |
| 2018-01-01 | Not available in this setting | $282.62 | 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 Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
34714 billing questions
When is 34714 chosen instead of 34713?
Use 34714 when the surgeon opens the groin, exposes the femoral artery, and creates a conduit for device delivery. Code 34713 describes percutaneous femoral access and closure.
Can 34714 be reported by itself?
No. It is an add-on code and must be reported with an applicable primary endovascular repair.
What operative documentation supports 34714?
Document the open femoral exposure, conduit creation, side, and the primary endovascular repair associated with the access work.
How is bilateral 34714 paid?
When the bilateral procedure is reported with modifier 50, CMS pays 150% of the unilateral payment.
Is payment for 34714 separate from the primary procedure's global period?
No. CMS identifies 34714 as an add-on paid within the primary procedure's global period.
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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