CPT code 34718: Iliac branch repair, each additional vessel2026 Medicare rate & RVUs in Minnesota

Reports treatment of an additional iliac vessel with an iliac branch endoprosthesis during endovascular repair, beyond the initial vessel.

CMS RVU26DEffective Oct 1, 2026One payment locality413 Medicare services in 2024

In Minnesota, Medicare pays $977.98 for 34718 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$977.98Hospital or facility

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.

We’ll open 34718 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 34718 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Minnesota 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. Minnesota pays $977.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

34718 in Minnesota vs other payment areas
  1. Minnesota · this page$977.98
  2. Los Angeles, CA · California$1,103.10+$125.12
  3. Washington, DC area · District of Columbia$1,200.92+$222.94
  4. Miami, FL · Florida$1,418.89+$440.91
  5. Chicago, IL · Illinois$1,373.49+$395.51
  6. Manhattan, NY · New York$1,299.64+$321.66
  7. Alaska · Alaska$1,423.77+$445.79

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

34718 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,010.42
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

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
34718 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 34718 in every payment locality

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

Office or facility?

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 Minnesota 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

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 34718 in Minnesota
ComponentRVULocality factorAdjusted
Physician work23.40× 1.00023.4000
Practice expense4.02× 1.0294.1366
Malpractice5.89× 0.2961.7434
Total RVUs29.2800
Conversion factor× 33.4009

Facility rate, Minnesota$977.98

Facility: (23.4 × 1 + 4.02 × 1.029 + 5.89 × 0.296) × $33.4009 = $977.98

Open 34718 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

How 34718 has changed in Minnesota

34718 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. 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.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$977.98RVU26D
2026-07-01Not available in this setting$977.98RVU26C
2026-04-01Not available in this setting$977.98RVU26B
2026-01-01Not available in this setting$977.98RVU26A
2025-10-01Not available in this setting$1,043.19RVU25D
2025-07-01Not available in this setting$1,043.19RVU25C
2025-04-01Not available in this setting$1,043.19RVU25B
2025-01-01Not available in this setting$1,043.19RVU25A
2024-10-01Not available in this setting$1,072.81RVU24D
2024-07-01Not available in this setting$1,072.81RVU24C
2024-04-01Not available in this setting$1,072.81RVU24B
2024-03-09Not available in this setting$1,072.81RVU24AR
2024-01-01Not available in this setting$1,055.30RVU24A
2023-10-01Not available in this setting$1,095.11RVU23D
2023-07-01Not available in this setting$1,095.11RVU23C
2023-04-01Not available in this setting$1,095.11RVU23B
2023-01-01Not available in this setting$1,095.11RVU23A
2022-10-01Not available in this setting$1,127.01RVU22D
2022-07-01Not available in this setting$1,127.01RVU22C
2022-04-01Not available in this setting$1,127.01RVU22B
2022-01-01Not available in this setting$1,127.01RVU22A
2021-10-01Not available in this setting$1,126.22RVU21D
2021-07-01Not available in this setting$1,126.22RVU21C
2021-04-01Not available in this setting$1,126.22RVU21B
2021-01-01Not available in this setting$1,126.22RVU21A
2020-10-01Not available in this setting$1,175.68RVU20D
2020-07-01Not available in this setting$1,175.68RVU20C
2020-04-01Not available in this setting$1,175.68RVU20B
2020-01-01Not available in this setting$1,175.68RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 34718 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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
RVUs for 34718PPRRVU2026_Oct_nonQPP.csv, line 4,220 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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