CPT code 34715: Arterial exposure, without conduit2026 Medicare rate & RVUs in North Carolina
Report this add-on for open axillary or subclavian artery access used to deliver an endovascular prosthesis when no conduit is created.
In North Carolina, Medicare pays $250.04 for 34715 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 34715 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 34715 covers
This code represents surgical exposure of one axillary or subclavian artery through an incision so an endovascular prosthesis delivery system can be introduced. It applies when the access is obtained directly from the artery without creating a conduit. Vascular surgeons commonly perform the exposure in a hybrid operating room during endovascular aortic repair when the planned device cannot be delivered through the usual access route.
Report the access work with an eligible primary endovascular procedure, not as a standalone service. The operative report should identify the exposed artery and side, describe the open access used for device delivery, and establish that no conduit was created. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral work, modifier 50 is paid at 150%.
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 North Carolina compares for 34715
Across 109 of 109 payment localities, the facility rate for 34715 runs from $234.30 in Wisconsin to $346.65 in Alaska. North Carolina pays $250.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$250.04
- Los Angeles, CA · California$265.47+$15.43
- Washington, DC area · District of Columbia$290.08+$40.04
- Miami, FL · Florida$346.14+$96.10
- Chicago, IL · Illinois$335.05+$85.01
- Manhattan, NY · New York$315.02+$64.98
- Alaska · Alaska$346.65+$96.61
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $245.00 |
| ArkansasArkansas | — | $242.09 |
| ArizonaArizona | — | $261.66 |
| Bakersfield, CACalifornia | — | $256.30 |
| Chico, CACalifornia | — | $252.30 |
| El Centro, CACalifornia | — | $252.55 |
| Fresno, CACalifornia | — | $252.30 |
| Hanford, CACalifornia | — | $252.30 |
| Madera, CACalifornia | — | $252.30 |
| Merced, CACalifornia | — | $252.30 |
| Modesto, CACalifornia | — | $252.30 |
| Napa, CACalifornia | — | $265.39 |
| Oxnard, CACalifornia | — | $260.88 |
| Redding, CACalifornia | — | $252.30 |
| Rest of CaliforniaCalifornia | — | $252.30 |
| Riverside, CACalifornia | — | $268.17 |
| Sacramento, CACalifornia | — | $257.67 |
| Salinas, CACalifornia | — | $256.60 |
| San Diego, CACalifornia | — | $257.61 |
| Marin County, CACalifornia | — | $271.50 |
| San Francisco, CACalifornia | — | $269.82 |
| San Benito County, CACalifornia | — | $279.03 |
| Santa Clara County, CACalifornia | — | $272.16 |
| San Luis Obispo, CACalifornia | — | $253.37 |
| Santa Cruz, CACalifornia | — | $256.03 |
| Santa Maria, CACalifornia | — | $256.18 |
| Santa Rosa, CACalifornia | — | $258.11 |
| Stockton, CACalifornia | — | $252.30 |
| Vallejo, CACalifornia | — | $262.97 |
| Visalia, CACalifornia | — | $252.30 |
| Yuba City, CACalifornia | — | $252.30 |
| ColoradoColorado | — | $262.65 |
| ConnecticutConnecticut | — | $285.74 |
| DelawareDelaware | — | $265.23 |
| Fort Lauderdale, FLFlorida | — | $309.81 |
| Rest of FloridaFlorida | — | $293.32 |
| Atlanta, GAGeorgia | — | $280.46 |
| Rest of GeorgiaGeorgia | — | $276.37 |
| Hawaii, Guam, HIHawaii | — | $252.12 |
| IowaIowa | — | $237.64 |
| IdahoIdaho | — | $241.52 |
| East St. Louis, ILIllinois | — | $317.69 |
| Rest of IllinoisIllinois | — | $295.23 |
| Suburban Chicago, ILIllinois | — | $309.74 |
| IndianaIndiana | — | $242.33 |
| KansasKansas | — | $242.65 |
| KentuckyKentucky | — | $262.60 |
| New Orleans, LALouisiana | — | $274.81 |
| Rest of LouisianaLouisiana | — | $264.63 |
| Metropolitan Boston, MAMassachusetts | — | $276.91 |
| Rest of MassachusettsMassachusetts | — | $263.95 |
| Baltimore area, MDMaryland | — | $286.19 |
| Rest of MarylandMaryland | — | $267.74 |
| Rest of MaineMaine | — | $248.88 |
| Southern Maine, MEMaine | — | $251.08 |
| Detroit, MIMichigan | — | $302.59 |
| Rest of MichiganMichigan | — | $273.77 |
| MinnesotaMinnesota | — | $235.46 |
| Metropolitan Kansas City, MOMissouri | — | $266.90 |
| Metropolitan St. Louis, MOMissouri | — | $268.46 |
| Rest of MissouriMissouri | — | $264.85 |
| MississippiMississippi | — | $253.21 |
| MontanaMontana | — | $269.45 |
| North DakotaNorth Dakota | — | $240.18 |
| NebraskaNebraska | — | $236.89 |
| New HampshireNew Hampshire | — | $264.38 |
| Northern New JerseyNew Jersey | — | $289.17 |
| Rest of New JerseyNew Jersey | — | $284.43 |
| New MexicoNew Mexico | — | $277.43 |
| NevadaNevada | — | $261.31 |
| NYC suburbs and Long Island, NYNew York | — | $329.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $291.07 |
| Queens, NYNew York | — | $308.40 |
| Rest of New YorkNew York | — | $253.63 |
| OhioOhio | — | $267.79 |
| OklahomaOklahoma | — | $255.88 |
| Portland, OROregon | — | $262.76 |
| Rest of OregonOregon | — | $254.76 |
| Metropolitan Philadelphia, PAPennsylvania | — | $283.62 |
| Rest of PennsylvaniaPennsylvania | — | $264.80 |
| Puerto RicoPuerto Rico | — | $269.08 |
| Rhode IslandRhode Island | — | $268.73 |
| South CarolinaSouth Carolina | — | $260.25 |
| South DakotaSouth Dakota | — | $236.72 |
| TennesseeTennessee | — | $244.41 |
| Austin, TXTexas | — | $265.73 |
| Beaumont, TXTexas | — | $263.81 |
| Brazoria, TXTexas | — | $260.01 |
| Dallas, TXTexas | — | $264.19 |
| Fort Worth, TXTexas | — | $264.58 |
| Galveston, TXTexas | — | $262.43 |
| Houston, TXTexas | — | $289.52 |
| Rest of TexasTexas | — | $263.49 |
| UtahUtah | — | $263.02 |
| VirginiaVirginia | — | $254.59 |
| Virgin Islands, VIUnited States Virgin Islands | — | $269.08 |
| VermontVermont | — | $244.88 |
| Rest of WashingtonWashington | — | $261.58 |
| King County, WAWashington | — | $275.88 |
| WisconsinWisconsin | — | $234.30 |
| West VirginiaWest Virginia | — | $287.61 |
| WyomingWyoming | — | $256.69 |
34715 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 34715 rate is calculated
Each of 34715’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 · 34715
RVUs × geographic indexes × conversion factor
Work5.85
5.85 RVUs× 1.000 GPCI
Practice expense0.74
0.74 RVUs× 1.000 GPCI
Malpractice1.48
1.48 RVUs× 1.000 GPCI
Adjusted RVUs
8.0700
Conversion factor
$33.4009
Medicare rate
$269.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,217
- Code
- 34715
- Physician work
- 5.85
- Practice expense
- 0.74
- Malpractice
- 1.48
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.85 | × 1.000 | 5.8500 |
| Practice expense | 0.74 | × 0.933 | 0.6904 |
| Malpractice | 1.48 | × 0.639 | 0.9457 |
| Total RVUs | 7.4861 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$250.04
Facility: (5.85 × 1 + 0.74 × 0.933 + 1.48 × 0.639) × $33.4009 = $250.04
Payment rules and modifiers for 34715
The CMS indicators that decide how 34715 is paid alongside other services.
CMS payment indicators · 34715
Arterial exposure, without 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
34715 without 50 · national facility
$269.55
Arterial exposure, without conduit
34715-50 · Bilateral: 150%
$404.33
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).
How 34715 has changed in North Carolina
34715 · 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 | $250.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $250.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $250.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $250.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $262.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $262.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $262.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $262.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $270.31 | RVU24D |
| 2024-07-01 | Not available in this setting | $270.31 | RVU24C |
| 2024-04-01 | Not available in this setting | $270.31 | RVU24B |
| 2024-03-09 | Not available in this setting | $270.31 | RVU24AR |
| 2024-01-01 | Not available in this setting | $265.90 | RVU24A |
| 2023-10-01 | Not available in this setting | $279.68 | RVU23D |
| 2023-07-01 | Not available in this setting | $279.68 | RVU23C |
| 2023-04-01 | Not available in this setting | $279.68 | RVU23B |
| 2023-01-01 | Not available in this setting | $279.68 | RVU23A |
| 2022-10-01 | Not available in this setting | $290.73 | RVU22D |
| 2022-07-01 | Not available in this setting | $290.73 | RVU22C |
| 2022-04-01 | Not available in this setting | $290.73 | RVU22B |
| 2022-01-01 | Not available in this setting | $290.73 | RVU22A |
| 2021-10-01 | Not available in this setting | $292.97 | RVU21D |
| 2021-07-01 | Not available in this setting | $292.97 | RVU21C |
| 2021-04-01 | Not available in this setting | $292.97 | RVU21B |
| 2021-01-01 | Not available in this setting | $292.97 | RVU21A |
| 2020-10-01 | Not available in this setting | $299.03 | RVU20D |
| 2020-07-01 | Not available in this setting | $299.03 | RVU20C |
| 2020-04-01 | Not available in this setting | $299.03 | RVU20B |
| 2020-01-01 | Not available in this setting | $299.03 | RVU20A |
| 2019-10-01 | Not available in this setting | $300.06 | RVU19D |
| 2019-07-01 | Not available in this setting | $300.06 | RVU19C |
| 2019-04-01 | Not available in this setting | $300.06 | RVU19B |
| 2019-01-01 | Not available in this setting | $300.06 | RVU19A |
| 2018-10-01 | Not available in this setting | $299.32 | RVU18D |
| 2018-07-01 | Not available in this setting | $299.32 | RVU18C |
| 2018-04-01 | Not available in this setting | $299.32 | RVU18B |
| 2018-01-01 | Not available in this setting | $299.32 | 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 North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
34715 billing questions
When is 34715 chosen instead of 34716?
Use 34715 when the surgeon exposes the axillary or subclavian artery for device delivery without creating a conduit. Use 34716 when a conduit is created.
Can 34715 be billed by itself?
No. It is an add-on and must be reported with an eligible primary endovascular procedure.
What should the operative note support?
Document the artery and side exposed, the open approach for prosthesis delivery, and whether a conduit was created.
How is bilateral exposure reported?
For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.
Is this the same as percutaneous femoral access?
No. 34715 describes open axillary or subclavian exposure; 34713 describes percutaneous femoral access and closure.
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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