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Billing code 34705: Aortic endograft repairMedicare rate & RVUs

Reports endovascular repair of a nonruptured infrarenal aortic aneurysm or dissection using an endograft that extends into both iliac arteries.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.5K Medicare services in 2024

Medicare pays $1,374.78 for 34705 nationally in a facility.

Medicare rate · 34705

Aortic endograft repair

Swap in your local Medicare rate.

Work RVUs
28.84
Total RVUs
41.16
Global days
090

National rate · 2026

$1,374.78

Facility setting, before claim adjustments.

See every locality for 34705 → · 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 34705 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 34705 covers

A vascular surgeon typically uses this service to exclude a nonruptured infrarenal abdominal aortic aneurysm or dissection with an endograft spanning the aorta and extending into both iliac arteries. The repair is performed in an operating room or endovascular suite, with imaging used to guide graft deployment and assess the repair. The aorto-bi-iliac configuration distinguishes this service from a tube graft or a one-sided iliac configuration.

Report the code for the initial repair when the documented diagnosis and deployed graft configuration support it; a ruptured aorta is coded in the corresponding rupture service instead. The operative report should establish the treated anatomy, rupture status, graft configuration, deployment, and access approach. Associated imaging integral to guiding and evaluating the repair is included. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued 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.

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 34705 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

34705 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,248.83
Alaska*Unavailable$1,759.22
ArizonaUnavailable$1,334.77
ArkansasUnavailable$1,233.80
AtlantaUnavailable$1,428.87
AustinUnavailable$1,359.10
BakersfieldUnavailable$1,315.15
Baltimore/Surr. CntysUnavailable$1,459.78
BeaumontUnavailable$1,342.33
BrazoriaUnavailable$1,327.90

34705 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
34705 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 34705 rate is calculated

Each of 34705’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 · 34705

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 28.84Practice expense 5.10Malpractice 7.22

41.1600 adjusted RVUs×$33.4009 conversion factor=$1,374.78

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

Payment rules and modifiers for 34705

34705 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34705

Aortic endograft repair

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 · 34705

Aortic endograft repair

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 51 · payment effect

With and without the modifier

34705 without 51 · national facility

$1,374.78

Aortic endograft repair

34705-51 · Second procedure: 50%

$687.39

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

34705 compared with similar codes

Compare codes

34705 vs 34706 vs 34703 vs 34701 vs 34709: national Medicare rates

Swap in your local Medicare rate.

  • 34705
    Aortic endograft repair · 28.84 wRVU
    —
  • 34706
    Aortic endograft repair · 43.88 wRVU
    —
  • 34703
    Aortic endograft repair · 25.86 wRVU
    —
  • 34701
    Aortic endograft repair · 23.12 wRVU
    —
  • 34709
    Endograft extension · 6.34 wRVU
    —

How to choose

34706Aortic endograft repair
The graft configuration is also aorto-bi-iliac, but 34706 is the corresponding repair service when the aorta is ruptured.
34703Aortic endograft repair
34703 describes an aorto-uniliac configuration, with the endograft extending into one iliac artery rather than both.
34701Aortic endograft repair
34701 is for an aorto-aortic tube configuration; 34705 uses a graft that extends into both iliac arteries.
34709Endograft extension
34709 describes placement of an extension prosthesis as an add-on when needed; it does not replace the initial repair code.

Codes related to 34705

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

Codes related to 34705
CodeHow it relatesNational office range
Same family
34706Aortic endograft repairCorresponding aorto-bi-iliac endograft repair service for a ruptured aorta.No office rate
34703Aortic endograft repairAorto-uniliac endograft configuration rather than extension into both iliac arteries.No office rate
34701Aortic endograft repairAorto-aortic tube endograft configuration for infrarenal repair.No office rate
Add-on codes
34709Endograft extensionAdd-on for placement of an extension prosthesis with an endovascular aortic repair when indicated.No office rate
Often billed with
34713Femoral accessMay describe separately reportable percutaneous femoral access and closure for endograft delivery.No office rate
34714Femoral accessMay describe separately reportable open femoral artery exposure for endograft delivery.No office rate

34705 billing questions

When should 34705 be chosen over 34706?

Use 34705 for the aorto-bi-iliac endograft repair when the aortic condition is not ruptured. The corresponding rupture service is 34706.

Does 34705 include the imaging performed during graft placement?

Imaging integral to guiding and evaluating the endovascular repair is included. Do not separately report routine imaging that is part of the repair.

Can femoral access be reported separately?

A separately reportable access service may be appropriate when its requirements are met: 34713 describes percutaneous femoral access and closure, while 34714 describes open femoral artery exposure.

Should modifier 50 be appended for the two iliac limbs?

No. The aorto-bi-iliac configuration is already represented by the service, and the CMS bilateral adjustment does not apply.

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.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made, and co-surgeons are permitted. 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 34705PPRRVU2026_Oct_nonQPP.csv, line 4,206 (RVU26D)

Open CMS sourceHow we calculate rates

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