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Billing code 34715: Arterial exposureMedicare rate & RVUs

Report this add-on for open axillary or subclavian artery access used to deliver an endovascular prosthesis when no conduit is created.

CMS RVU26DEffective Oct 1, 2026109 payment localities252 Medicare services in 2024

Medicare pays $269.55 for 34715 nationally in a facility.

Medicare rate · 34715

Arterial exposure

Swap in your local Medicare rate.

Work RVUs
5.85
Total RVUs
8.07
Global days
ZZZ

National rate · 2026

$269.55

Facility setting, before claim adjustments.

See every locality for 34715 → · 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 34715 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 34715 covers

This code represents surgical exposure of one axillary or subclavian artery through an incision so an endovascular prosthesis delivery system can be introduced. It applies when the access is obtained directly from the artery without creating a conduit. Vascular surgeons commonly perform the exposure in a hybrid operating room during endovascular aortic repair when the planned device cannot be delivered through the usual access route.

Report the access work with an eligible primary endovascular procedure, not as a standalone service. The operative report should identify the exposed artery and side, describe the open access used for device delivery, and establish that no conduit was created. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral work, modifier 50 is paid at 150%.

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 34715 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

34715 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$245.00
Alaska*Unavailable$346.65
ArizonaUnavailable$261.66
ArkansasUnavailable$242.09
AtlantaUnavailable$280.46
AustinUnavailable$265.73
BakersfieldUnavailable$256.30
Baltimore/Surr. CntysUnavailable$286.19
BeaumontUnavailable$263.81
BrazoriaUnavailable$260.01

34715 rates by state

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

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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
34715 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 34715 rate is calculated

Each of 34715’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 · 34715

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.85Practice expense 0.74Malpractice 1.48

8.0700 adjusted RVUs×$33.4009 conversion factor=$269.55

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

Payment rules and modifiers for 34715

The CMS indicators that decide how 34715 is paid alongside other services.

CMS payment indicators · 34715

Arterial exposure

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

34715 without 50 · national facility

$269.55

Arterial exposure

34715-50 · Bilateral: 150%

$404.33

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

34715 compared with similar codes

Compare codes

34715 vs 34716 vs 34714 vs 34713 vs 33880: national Medicare rates

Swap in your local Medicare rate.

  • 34715
    Arterial exposure · 5.85 wRVU
    —
  • 34716
    Arterial access · 7.01 wRVU
    —
  • 34714
    Femoral access · 5.12 wRVU
    —
  • 34713
    Femoral access · 2.44 wRVU
    —
  • 33880
    Thoracic endovascular repair · 26.33 wRVU
    —

How to choose

34716Arterial access
Both describe open axillary or subclavian access for prosthesis delivery. Choose 34715 when no conduit is created; choose 34716 when the surgeon creates one.
34714Femoral access
34714 describes open femoral artery exposure for device delivery. 34715 is for open axillary or subclavian exposure.
34713Femoral access
34713 covers percutaneous femoral access and closure. 34715 describes open exposure of an axillary or subclavian artery.
33880Thoracic endovascular repair
33880 reports the primary thoracic endovascular repair; 34715 reports qualifying open upper-extremity access as an add-on.

Codes related to 34715

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

Codes related to 34715
CodeHow it relatesNational office range
Primary code
33880Thoracic endovascular repairPrimary thoracic endovascular repair code that may be paired with axillary or subclavian access.No office rate
33881Thoracic endograftPrimary thoracic endovascular repair code that may be paired with axillary or subclavian access.No office rate
Same family
34716Arterial accessSame open axillary or subclavian access family, but a conduit is created.No office rate
Used instead
34714Femoral accessOpen femoral artery exposure for endovascular device delivery instead of upper-extremity arterial exposure.No office rate
34713Femoral accessPercutaneous femoral access and closure is a different access method.No office rate

34715 billing questions

When is 34715 chosen instead of 34716?

Use 34715 when the surgeon exposes the axillary or subclavian artery for device delivery without creating a conduit. Use 34716 when a conduit is created.

Can 34715 be billed by itself?

No. It is an add-on and must be reported with an eligible primary endovascular procedure.

What should the operative note support?

Document the artery and side exposed, the open approach for prosthesis delivery, and whether a conduit was created.

How is bilateral exposure reported?

For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.

Is this the same as percutaneous femoral access?

No. 34715 describes open axillary or subclavian exposure; 34713 describes percutaneous femoral access and closure.

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 34715PPRRVU2026_Oct_nonQPP.csv, line 4,217 (RVU26D)

Open CMS sourceHow we calculate rates

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