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Billing code 34111: Arterial thrombectomyMedicare rate & RVUs

Open removal of clot from an axillary or brachial artery restores upper-extremity blood flow when acute arterial obstruction requires surgical treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities620 Medicare services in 2024

Medicare pays $544.10 for 34111 nationally in a facility.

Medicare rate · 34111

Arterial thrombectomy

Swap in your local Medicare rate.

Work RVUs
10.66
Total RVUs
16.29
Global days
090

National rate · 2026

$544.10

Facility setting, before claim adjustments.

See every locality for 34111 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 34111 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 34111 covers

This service removes thrombus or embolus from an axillary or brachial artery through an arm incision, using direct extraction or a catheter technique. The procedure includes primary closure of the artery. Vascular surgeons and other qualified surgeons typically perform it in a hospital operating room for acute upper-extremity ischemia, such as a threatened arm or hand caused by arterial obstruction.

Report the code for clot removal from the axillary-brachial artery, rather than for a smaller forearm artery or a neck artery. The operative report should identify the treated vessel, the clot-removal method, and the closure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and 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.

Where 34111 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

34111 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$492.73
Alaska*Unavailable$688.00
ArizonaUnavailable$528.08
ArkansasUnavailable$486.56
AtlantaUnavailable$564.86
AustinUnavailable$540.21
BakersfieldUnavailable$525.00
Baltimore/Surr. CntysUnavailable$578.31
BeaumontUnavailable$528.89
BrazoriaUnavailable$526.23

34111 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
34111 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

How the 34111 rate is calculated

Each of 34111’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 · 34111

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.66Practice expense 2.93Malpractice 2.70

16.2900 adjusted RVUs×$33.4009 conversion factor=$544.10

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 34111

34111 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34111

Arterial thrombectomy

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 34111

Arterial thrombectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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 50 · payment effect

With and without the modifier

34111 without 50 · national facility

$544.10

Arterial thrombectomy

34111-50 · Bilateral: 150%

$816.15

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).

When to use modifier 50

34111 compared with similar codes

Compare codes

34111 vs 34101 vs 34151 vs 35206: national Medicare rates

Swap in your local Medicare rate.

  • 34111
    Arterial thrombectomy · 10.66 wRVU
    —
  • 34101
    Arterial thrombectomy · 10.66 wRVU
    —
  • 34151
    Arterial thrombectomy · 25.86 wRVU
    —
  • 35206
    Vessel repair · 13.49 wRVU
    —

How to choose

34101Arterial thrombectomy
Use 34101 for clot removal from a carotid, subclavian, or innominate artery. This code is for the axillary-brachial artery.
34151Arterial thrombectomy
Use 34151 when the clot is in a radial or ulnar artery. Use 34111 for an axillary-brachial artery.
35206Vessel repair
Use 35206 for direct repair of an upper-extremity blood vessel when the service addresses a vessel defect rather than removing an arterial clot.

Codes related to 34111

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 34111
CodeHow it relatesNational office range
Same family
34101Arterial thrombectomyArterial clot-removal code for carotid, subclavian, or innominate vessels.No office rate
34151Arterial thrombectomyClot removal for radial or ulnar arteries rather than the axillary-brachial artery.No office rate
Used instead
35206Vessel repairDirect upper-extremity vessel repair when repair, rather than clot extraction, is the operative need.No office rate

34111 billing questions

How does this differ from 34151?

34111 is for clot removal in the axillary-brachial artery. Code 34151 is for a radial or ulnar artery in the forearm.

Does the code include closing the artery?

Yes. The service includes primary closure after clot removal; routine closure is not a separate service under this code.

What documentation supports reporting 34111?

The operative report should identify the axillary or brachial artery treated, the obstructing clot, the extraction approach, and the arterial closure.

How are bilateral procedures reported?

CMS identifies this as a bilateral procedure; report modifier 50 when appropriate. The CMS payment rule is 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 34111PPRRVU2026_Oct_nonQPP.csv, line 4,184 (RVU26D)

Open CMS sourceHow we calculate rates

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