CPT code 34718: Iliac branch repair, each additional vessel2026 Medicare rate & RVUs in Washington, DC area
Reports treatment of an additional iliac vessel with an iliac branch endoprosthesis during endovascular repair, beyond the initial vessel.
In Washington, DC area, Medicare pays $1,200.92 for 34718 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 34718 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 34718 covers
This code covers deployment of an iliac branch endoprosthesis to treat an additional iliac vessel during endovascular aneurysm repair. The branched device is used to exclude an iliac aneurysm while maintaining blood flow into the internal iliac artery when that branch is treated. Vascular surgeons and other physicians performing endovascular repair typically provide the service in a hospital or other facility setting. The additional-vessel service may be performed on the opposite side from the initial repair when bilateral anatomy requires branch devices on both sides.
Report this code with 34717 for each additional vessel treated; 34717 represents the initial vessel. The operative report should identify the vessels treated and document deployment of the additional iliac branch endoprosthesis. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment and co-surgeons 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 Washington, DC area compares for 34718
Across 109 of 109 payment localities, the facility rate for 34718 runs from $970.81 in Wisconsin to $1,423.77 in Alaska. Washington, DC area pays $1,200.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,200.92
- Los Angeles, CA · California$1,103.10−$97.82
- Miami, FL · Florida$1,418.89+$217.97
- Chicago, IL · Illinois$1,373.49+$172.57
- Manhattan, NY · New York$1,299.64+$98.72
- Alaska · Alaska$1,423.77+$222.85
- Alabama · Alabama$1,010.42−$190.50
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $998.24 |
| ArizonaArizona | — | $1,080.09 |
| Bakersfield, CACalifornia | — | $1,063.40 |
| Chico, CACalifornia | — | $1,047.48 |
| El Centro, CACalifornia | — | $1,048.46 |
| Fresno, CACalifornia | — | $1,047.48 |
| Hanford, CACalifornia | — | $1,047.48 |
| Madera, CACalifornia | — | $1,047.48 |
| Merced, CACalifornia | — | $1,047.48 |
| Modesto, CACalifornia | — | $1,047.48 |
| Napa, CACalifornia | — | $1,107.73 |
| Oxnard, CACalifornia | — | $1,084.74 |
| Redding, CACalifornia | — | $1,047.48 |
| Rest of CaliforniaCalifornia | — | $1,047.48 |
| Riverside, CACalifornia | — | $1,110.62 |
| Sacramento, CACalifornia | — | $1,071.32 |
| Salinas, CACalifornia | — | $1,066.88 |
| San Diego, CACalifornia | — | $1,072.25 |
| Marin County, CACalifornia | — | $1,135.45 |
| San Francisco, CACalifornia | — | $1,128.77 |
| San Benito County, CACalifornia | — | $1,166.62 |
| Santa Clara County, CACalifornia | — | $1,139.28 |
| San Luis Obispo, CACalifornia | — | $1,053.25 |
| Santa Cruz, CACalifornia | — | $1,066.58 |
| Santa Maria, CACalifornia | — | $1,065.47 |
| Santa Rosa, CACalifornia | — | $1,075.36 |
| Stockton, CACalifornia | — | $1,047.48 |
| Vallejo, CACalifornia | — | $1,098.09 |
| Visalia, CACalifornia | — | $1,047.48 |
| Yuba City, CACalifornia | — | $1,047.48 |
| ColoradoColorado | — | $1,087.47 |
| ConnecticutConnecticut | — | $1,179.87 |
| DelawareDelaware | — | $1,095.01 |
| Fort Lauderdale, FLFlorida | — | $1,273.29 |
| Rest of FloridaFlorida | — | $1,205.63 |
| Atlanta, GAGeorgia | — | $1,156.62 |
| Rest of GeorgiaGeorgia | — | $1,135.86 |
| Hawaii, Guam, HIHawaii | — | $1,048.16 |
| IowaIowa | — | $982.54 |
| IdahoIdaho | — | $998.16 |
| East St. Louis, ILIllinois | — | $1,301.33 |
| Rest of IllinoisIllinois | — | $1,211.66 |
| Suburban Chicago, ILIllinois | — | $1,273.56 |
| IndianaIndiana | — | $1,001.66 |
| KansasKansas | — | $1,002.12 |
| KentuckyKentucky | — | $1,080.96 |
| New Orleans, LALouisiana | — | $1,131.42 |
| Rest of LouisianaLouisiana | — | $1,088.88 |
| Metropolitan Boston, MAMassachusetts | — | $1,149.04 |
| Rest of MassachusettsMassachusetts | — | $1,092.27 |
| Baltimore area, MDMaryland | — | $1,181.52 |
| Rest of MarylandMaryland | — | $1,105.88 |
| Rest of MaineMaine | — | $1,027.48 |
| Southern Maine, MEMaine | — | $1,038.78 |
| Detroit, MIMichigan | — | $1,242.84 |
| Rest of MichiganMichigan | — | $1,126.28 |
| MinnesotaMinnesota | — | $977.98 |
| Metropolitan Kansas City, MOMissouri | — | $1,099.87 |
| Metropolitan St. Louis, MOMissouri | — | $1,106.53 |
| Rest of MissouriMissouri | — | $1,088.94 |
| MississippiMississippi | — | $1,042.57 |
| MontanaMontana | — | $1,112.19 |
| North CarolinaNorth Carolina | — | $1,032.57 |
| North DakotaNorth Dakota | — | $995.73 |
| NebraskaNebraska | — | $979.88 |
| New HampshireNew Hampshire | — | $1,093.50 |
| Northern New JerseyNew Jersey | — | $1,196.68 |
| Rest of New JerseyNew Jersey | — | $1,175.28 |
| New MexicoNew Mexico | — | $1,140.98 |
| NevadaNevada | — | $1,079.86 |
| NYC suburbs and Long Island, NYNew York | — | $1,356.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,201.82 |
| Queens, NYNew York | — | $1,274.00 |
| Rest of New YorkNew York | — | $1,047.44 |
| OhioOhio | — | $1,102.48 |
| OklahomaOklahoma | — | $1,054.35 |
| Portland, OROregon | — | $1,089.63 |
| Rest of OregonOregon | — | $1,053.62 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,170.13 |
| Rest of PennsylvaniaPennsylvania | — | $1,090.75 |
| Puerto RicoPuerto Rico | — | $1,111.11 |
| Rhode IslandRhode Island | — | $1,110.62 |
| South CarolinaSouth Carolina | — | $1,072.87 |
| South DakotaSouth Dakota | — | $981.95 |
| TennesseeTennessee | — | $1,009.28 |
| Austin, TXTexas | — | $1,099.51 |
| Beaumont, TXTexas | — | $1,086.53 |
| Brazoria, TXTexas | — | $1,074.35 |
| Dallas, TXTexas | — | $1,091.15 |
| Fort Worth, TXTexas | — | $1,092.36 |
| Galveston, TXTexas | — | $1,084.06 |
| Houston, TXTexas | — | $1,191.87 |
| Rest of TexasTexas | — | $1,086.65 |
| UtahUtah | — | $1,084.46 |
| VirginiaVirginia | — | $1,052.46 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,111.11 |
| VermontVermont | — | $1,014.06 |
| Rest of WashingtonWashington | — | $1,082.84 |
| King County, WAWashington | — | $1,146.14 |
| WisconsinWisconsin | — | $970.81 |
| West VirginiaWest Virginia | — | $1,179.79 |
| WyomingWyoming | — | $1,061.43 |
34718 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 34718 rate is calculated
Each of 34718’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 · 34718
RVUs × geographic indexes × conversion factor
Work23.40
23.40 RVUs× 1.000 GPCI
Practice expense4.02
4.02 RVUs× 1.000 GPCI
Malpractice5.89
5.89 RVUs× 1.000 GPCI
Adjusted RVUs
33.3100
Conversion factor
$33.4009
Medicare rate
$1,112.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,220
- Code
- 34718
- Physician work
- 23.40
- Practice expense
- 4.02
- Malpractice
- 5.89
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.40 | × 1.054 | 24.6636 |
| Practice expense | 4.02 | × 1.178 | 4.7356 |
| Malpractice | 5.89 | × 1.113 | 6.5556 |
| Total RVUs | 35.9547 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1200.92
Facility: (23.4 × 1.054 + 4.02 × 1.178 + 5.89 × 1.113) × $33.4009 = $1200.92
Payment rules and modifiers for 34718
34718 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34718
Iliac branch repair, each additional vessel
| 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 · 34718
Iliac branch repair, each additional vessel
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
34718 without 51 · national facility
$1,112.58
Iliac branch repair, each additional vessel
34718-51 · Second procedure: 50%
$556.29
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 34718 has changed in Washington, DC area
34718 · 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, 2020
RVU20A
No ratechanged toNo rate
Held through 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, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,200.92 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,200.92 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,200.92 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,200.92 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,285.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,285.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,285.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,285.66 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,323.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,323.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,323.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,323.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,301.44 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,355.34 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,355.34 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,355.34 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,355.34 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,408.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,408.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,408.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,408.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,400.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,400.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,400.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,400.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,452.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,452.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,452.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,452.16 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | 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 Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
34718 billing questions
When should 34718 be reported instead of 34717?
Use 34717 for the initial iliac vessel treated with an iliac branch endoprosthesis. Report 34718 for each additional vessel treated in the same repair.
Can 34718 be reported without 34717?
No. It represents an additional-vessel service and is reported with 34717 for the initial vessel.
What documentation supports 34718?
Document the additional iliac vessel treated and deployment of the iliac branch endoprosthesis. The operative report should distinguish the additional vessel from the initial vessel reported with 34717.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the initial and additional vessel services as applicable rather than using modifier 50.
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. CMS also permits assistant-at-surgery payment and co-surgeons for this service.
How are other procedures in the same session paid?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures in the session are paid at 50%.
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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