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Billing code 34832: Aortic aneurysm repairMedicare rate & RVUs

Reports open repair of an infrarenal aortic aneurysm or dissection using a prosthetic graft with femoral outflow, including associated iliac aneurysm repair when applicable.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,720.48 for 34832 nationally in a facility.

Medicare rate · 34832

Aortic aneurysm repair

Swap in your local Medicare rate.

Work RVUs
37.03
Total RVUs
51.51
Global days
090

National rate · 2026

$1,720.48

Facility setting, before claim adjustments.

See every locality for 34832 → · 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 34832 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 34832 covers

A vascular surgeon uses an open approach to repair an infrarenal abdominal aortic aneurysm or dissection with a prosthetic graft extending to the femoral artery or arteries. The procedure may also address an associated iliac artery aneurysm. It is performed in an operating room, typically in a hospital, and is distinct from an aorto-aortic tube graft or a graft ending at the iliac arteries.

Select this code when the operative report supports open repair and an aortofemoral graft configuration. Document the pathology treated, open approach, graft configuration, and anastomosis sites. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team-surgery payment 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 34832 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

34832 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,562.29
Alaska*Unavailable$2,207.75
ArizonaUnavailable$1,669.74
ArkansasUnavailable$1,543.48
AtlantaUnavailable$1,790.45
AustinUnavailable$1,696.60
BakersfieldUnavailable$1,636.37
Baltimore/Surr. CntysUnavailable$1,827.45
BeaumontUnavailable$1,682.96
BrazoriaUnavailable$1,659.28

34832 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
34832 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 34832 rate is calculated

Each of 34832’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 · 34832

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 37.03Practice expense 5.01Malpractice 9.47

51.5100 adjusted RVUs×$33.4009 conversion factor=$1,720.48

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

Payment rules and modifiers for 34832

34832 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34832

Aortic aneurysm 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 · 34832

Aortic aneurysm 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

34832 without 51 · national facility

$1,720.48

Aortic aneurysm repair

34832-51 · Second procedure: 50%

$860.24

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

34832 compared with similar codes

Compare codes

34832 vs 34830 vs 34831 vs 35646: national Medicare rates

Swap in your local Medicare rate.

  • 34832
    Aortic aneurysm repair · 37.03 wRVU
    —
  • 34830
    Open aortic repair · 34.35 wRVU
    —
  • 34831
    Aortic graft repair · 37.03 wRVU
    —
  • 35646
    Aortic bypass · 32.16 wRVU
    —

How to choose

34830Open aortic repair
This code is for an aortofemoral prosthesis configuration; 34830 describes open repair using a tube prosthesis.
34831Aortic graft repair
Use 34831 for an aortoiliac prosthesis configuration. The distinguishing factor is the graft's distal outflow, not simply the diagnosis.
35646Aortic bypass
This code addresses open aneurysm or dissection repair with an aortofemoral prosthesis. Code 35646 describes an aortofemoral bypass for a different indication, such as occlusive disease.

Codes related to 34832

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

Codes related to 34832
CodeHow it relatesNational office range
Same family
34830Open aortic repairOpen infrarenal aortic repair using a tube prosthesis configuration.No office rate
34831Aortic graft repairOpen infrarenal aortic repair using an aortoiliac prosthesis configuration.No office rate
Used instead
35646Aortic bypassAortofemoral bypass for a different clinical need, such as arterial occlusive disease.No office rate

34832 billing questions

When should this be selected instead of 34830 or 34831?

Choose 34832 when the open repair uses an aortofemoral prosthetic configuration. Codes 34830 and 34831 describe tube and aortoiliac configurations, respectively.

Does this code describe an aortofemoral bypass for occlusive disease?

No. This code describes open repair of an infrarenal aortic aneurysm or dissection. A bypass for occlusive disease is a different service, such as 35646 when its requirements are met.

Can modifier 50 be used for a graft to both femoral arteries?

No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy already accounts for the service.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team-surgery payment is not permitted for this code.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced when performed in the same session.

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 34832PPRRVU2026_Oct_nonQPP.csv, line 4,231 (RVU26D)

Open CMS sourceHow we calculate rates

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