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Billing code 34151: Arterial thrombectomyMedicare rate & RVUs

Iliac artery thrombectomy removes an obstructing clot through an abdominal incision, typically during urgent treatment of acute lower-extremity ischemia.

CMS RVU26DEffective Oct 1, 2026109 payment localities250 Medicare services in 2024

Medicare pays $1,263.22 for 34151 nationally in a facility.

Medicare rate · 34151

Arterial thrombectomy

Swap in your local Medicare rate.

Work RVUs
25.86
Total RVUs
37.82
Global days
090

National rate · 2026

$1,263.22

Facility setting, before claim adjustments.

See every locality for 34151 → · 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 34151 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 34151 covers

A vascular surgeon removes clot from an iliac artery through an abdominal incision, either directly or using a catheter passed through the operative exposure. The procedure is used when an iliac arterial obstruction threatens blood flow to the leg, such as with acute limb ischemia from an embolus or thrombosis. It is performed in an operating room, commonly in a hospital setting. The abdominal approach and iliac artery site distinguish this service from thrombectomy performed through a neck, arm, or leg incision.

Report the code when the operative record supports removal of clot from an iliac artery through the abdominal approach; document the treated vessel, approach, and thrombectomy performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 34151 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

34151 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,145.58
Alaska*Unavailable$1,608.44
ArizonaUnavailable$1,226.08
ArkansasUnavailable$1,131.52
AtlantaUnavailable$1,312.74
AustinUnavailable$1,250.43
BakersfieldUnavailable$1,211.28
Baltimore/Surr. CntysUnavailable$1,342.14
BeaumontUnavailable$1,231.43
BrazoriaUnavailable$1,220.30

34151 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
34151 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 34151 rate is calculated

Each of 34151’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 · 34151

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 25.86Practice expense 5.40Malpractice 6.56

37.8200 adjusted RVUs×$33.4009 conversion factor=$1,263.22

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

Payment rules and modifiers for 34151

34151 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34151

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 · 34151

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

34151 without 50 · national facility

$1,263.22

Arterial thrombectomy

34151-50 · Bilateral: 150%

$1,894.83

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

34151 compared with similar codes

Compare codes

34151 vs 34101 vs 34111 vs 34201: national Medicare rates

Swap in your local Medicare rate.

  • 34151
    Arterial thrombectomy · 25.86 wRVU
    —
  • 34101
    Arterial thrombectomy · 10.66 wRVU
    —
  • 34111
    Arterial thrombectomy · 10.66 wRVU
    —
  • 34201
    Arterial embolectomy · 18.99 wRVU
    —

How to choose

34101Arterial thrombectomy
Use 34101 for the specified neck-incision arterial thrombectomy territory, not for iliac artery clot removal through an abdominal incision.
34111Arterial thrombectomy
Use 34111 for the specified upper-extremity arteries approached through an arm incision; this code is for the iliac artery approached abdominally.
34201Arterial embolectomy
Use 34201 when the treated vessel is femoral or popliteal and the approach is through a leg incision, rather than an iliac artery approached abdominally.

Codes related to 34151

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

Codes related to 34151
CodeHow it relatesNational office range
Same family
34101Arterial thrombectomyArterial thrombectomy code for a different vascular territory and neck incision.No office rate
34111Arterial thrombectomyArterial thrombectomy code for upper-extremity vessels and an arm incision.No office rate
34201Arterial embolectomyArterial thrombectomy code for femoral or popliteal vessels approached through a leg incision.No office rate

34151 billing questions

How is this code distinguished from thrombectomy codes for other arteries?

This code describes iliac artery clot removal through an abdominal incision. Choose a different code when the treated artery and operative incision are in another region, such as the neck, arm, or leg.

What documentation supports reporting this code?

The operative report should identify the iliac artery, the abdominal approach, and the clot-removal work performed, including whether removal was direct or catheter-assisted.

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.

How is bilateral performance reported under the CMS facts?

When the procedure is performed bilaterally, modifier 50 applies, and CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. 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 34151PPRRVU2026_Oct_nonQPP.csv, line 4,185 (RVU26D)

Open CMS sourceHow we calculate rates

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