CPT code 34716: Arterial access, chest incision with conduit2026 Medicare rate & RVUs in Missouri
Reports open axillary or subclavian artery exposure through a chest incision with conduit creation to deliver an endovascular prosthesis.
CMS doesn’t publish an office rate for 34716 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 34716 covers
A vascular surgeon exposes the axillary or subclavian artery through a chest incision and creates a conduit to provide access for an endovascular delivery system. This approach is used when the device cannot be delivered through the usual femoral or iliac route, often during endovascular aortic repair in a hybrid operating room. The conduit and open exposure distinguish this service from access obtained through a neck incision or percutaneous femoral access.
Report 34716 as an add-on with the primary endovascular procedure; it is paid within that procedure’s global period. The operative report should identify the chest incision, artery exposed, conduit created, and its use for prosthesis delivery, along with the primary repair performed. For a bilateral procedure, 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.
Where 34716 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $334.19 |
| Metropolitan St. Louis, MO | Unavailable | $336.24 |
| Rest of Missouri | Unavailable | $330.44 |
How the 34716 rate is calculated
Each of 34716’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 · 34716
RVUs × geographic indexes × conversion factor
Work7.01
7.01 RVUs× 1.000 GPCI
Practice expense1.39
1.39 RVUs× 1.000 GPCI
Malpractice1.73
1.73 RVUs× 1.000 GPCI
Adjusted RVUs
10.1300
Conversion factor
$33.4009
Medicare rate
$338.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34716
The CMS indicators that decide how 34716 is paid alongside other services.
CMS payment indicators · 34716
Arterial access, chest incision 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
34716 without 50 · national facility
$338.35
Arterial access, chest incision with conduit
34716-50 · Bilateral: 150%
$507.53
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).
34716 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 34715Arterial exposureWithout conduit
- Choose 34716 for chest-incision axillary or subclavian exposure with conduit creation; 34715 describes exposure through a neck incision without that conduit feature.
- 34714Femoral accessOpen exposure with conduit
- 34714 covers open femoral artery access with conduit, while 34716 covers axillary or subclavian access through a chest incision.
- 34713Femoral accessPercutaneous, large-bore
- 34713 describes percutaneous femoral access and closure; 34716 requires open upper-chest exposure and conduit creation.
34716 billing questions
How does 34716 differ from 34715?
34716 describes axillary or subclavian exposure through a chest incision with conduit creation. 34715 describes open exposure through a neck incision without the conduit feature.
Can 34716 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure; payment is included within that procedure’s global period.
What operative details support reporting 34716?
Document the chest incision, the axillary or subclavian artery exposed, conduit creation, and use of the conduit to deliver the endovascular prosthesis.
How is bilateral 34716 reported?
When the procedure is bilateral, report modifier 50. CMS pays the bilateral procedure at 150%.
Can 34716 be used for percutaneous femoral access?
No. It describes open axillary or subclavian access through a chest incision with conduit creation, not percutaneous femoral access.
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
Fee sheets
Put 34716 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet