No office rate
Use 34101 for clot removal from a carotid, subclavian, or innominate artery. This code is for the axillary-brachial artery.
On this page
CMS RVU26D · Effective 2026-10-01
34111 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$517.70
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 34111: Axillary-brachial artery thrombectomy
Open removal of clot from an axillary or brachial artery restores upper-extremity blood flow when acute arterial obstruction requires surgical treatment.
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.
CMS billing rules for 34111
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.66 · 65%
- Practice expense (office) RVU2.93 · 18%
- Malpractice RVU2.70 · 17%
620
Medicare services in 2024 · #3361 by national volume
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.
34111 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Use 34151 when the clot is in a radial or ulnar artery. Use 34111 for an axillary-brachial artery.
No office rate
Use 35206 for direct repair of an upper-extremity blood vessel when the service addresses a vessel defect rather than removing an arterial clot.
The same code, a different location
How does Merced compare?
34111 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Modesto
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Napa
California · 34111
Office
Unavailable
Facility
$553.28
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 34111
Office
Unavailable
Facility
$537.88
No comparable office rate is available.
Redding
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Rest Of California
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 34111
Office
Unavailable
Facility
$546.65
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 34111
Office
Unavailable
Facility
$531.03
No comparable office rate is available.
Salinas
California · 34111
Office
Unavailable
Facility
$528.85
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 34111
Office
Unavailable
Facility
$532.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 34111
Office
Unavailable
Facility
$569.26
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 34111
Office
Unavailable
Facility
$566.20
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 34111
Office
Unavailable
Facility
$584.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 34111
Office
Unavailable
Facility
$572.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 34111
Office
Unavailable
Facility
$521.91
No comparable office rate is available.
Santa Cruz-Watsonville
California · 34111
Office
Unavailable
Facility
$530.77
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 34111
Office
Unavailable
Facility
$528.47
No comparable office rate is available.
Santa Rosa-Petaluma
California · 34111
Office
Unavailable
Facility
$535.25
No comparable office rate is available.
Stockton
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Vallejo
California · 34111
Office
Unavailable
Facility
$548.86
No comparable office rate is available.
Visalia
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Yuba City
California · 34111
Office
Unavailable
Facility
$517.70
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 34111
Office
Unavailable
Facility
$590.94
No comparable office rate is available.
Miami
Florida · 34111
Office
Unavailable
Facility
$686.00
No comparable office rate is available.
Chicago
Illinois · 34111
Office
Unavailable
Facility
$663.87
No comparable office rate is available.
Manhattan
New York · 34111
Office
Unavailable
Facility
$635.59
No comparable office rate is available.
Alaska*
Alaska · 34111
Office
Unavailable
Facility
$688.00
No comparable office rate is available.
Alabama
Alabama · 34111
Office
Unavailable
Facility
$492.73
No comparable office rate is available.
Arkansas
Arkansas · 34111
Office
Unavailable
Facility
$486.56
No comparable office rate is available.
Arizona
Arizona · 34111
Office
Unavailable
Facility
$528.08
No comparable office rate is available.
Colorado
Colorado · 34111
Office
Unavailable
Facility
$534.89
No comparable office rate is available.
Connecticut
Connecticut · 34111
Office
Unavailable
Facility
$577.70
No comparable office rate is available.
Delaware
Delaware · 34111
Office
Unavailable
Facility
$535.60
No comparable office rate is available.
Fort Lauderdale
Florida · 34111
Office
Unavailable
Facility
$618.24
No comparable office rate is available.
Rest Of Florida
Florida · 34111
Office
Unavailable
Facility
$585.16
No comparable office rate is available.
Atlanta
Georgia · 34111
Office
Unavailable
Facility
$564.86
No comparable office rate is available.
Rest Of Georgia
Georgia · 34111
Office
Unavailable
Facility
$550.85
No comparable office rate is available.
Hawaii, Guam
Hawaii · 34111
Office
Unavailable
Facility
$519.54
No comparable office rate is available.
Iowa
Iowa · 34111
Office
Unavailable
Facility
$481.40
No comparable office rate is available.
Idaho
Idaho · 34111
Office
Unavailable
Facility
$488.75
No comparable office rate is available.
East St. Louis
Illinois · 34111
Office
Unavailable
Facility
$627.72
No comparable office rate is available.
Rest Of Illinois
Illinois · 34111
Office
Unavailable
Facility
$586.36
No comparable office rate is available.
Suburban Chicago
Illinois · 34111
Office
Unavailable
Facility
$618.86
No comparable office rate is available.
Indiana
Indiana · 34111
Office
Unavailable
Facility
$490.60
No comparable office rate is available.
Kansas
Kansas · 34111
Office
Unavailable
Facility
$489.98
No comparable office rate is available.
Kentucky
Kentucky · 34111
Office
Unavailable
Facility
$525.57
No comparable office rate is available.
New Orleans
Louisiana · 34111
Office
Unavailable
Facility
$550.59
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 34111
Office
Unavailable
Facility
$529.06
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 34111
Office
Unavailable
Facility
$567.76
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 34111
Office
Unavailable
Facility
$536.68
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 34111
Office
Unavailable
Facility
$578.31
No comparable office rate is available.
Rest Of Maryland
Maryland · 34111
Office
Unavailable
Facility
$541.44
No comparable office rate is available.
Rest Of Maine
Maine · 34111
Office
Unavailable
Facility
$502.18
No comparable office rate is available.
Southern Maine
Maine · 34111
Office
Unavailable
Facility
$509.94
No comparable office rate is available.
Detroit
Michigan · 34111
Office
Unavailable
Facility
$602.54
No comparable office rate is available.
Rest Of Michigan
Michigan · 34111
Office
Unavailable
Facility
$547.22
No comparable office rate is available.
Minnesota
Minnesota · 34111
Office
Unavailable
Facility
$483.45
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 34111
Office
Unavailable
Facility
$536.06
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 34111
Office
Unavailable
Facility
$539.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 34111
Office
Unavailable
Facility
$528.25
No comparable office rate is available.
Mississippi
Mississippi · 34111
Office
Unavailable
Facility
$506.96
No comparable office rate is available.
Montana**
Montana · 34111
Office
Unavailable
Facility
$543.92
No comparable office rate is available.
North Carolina
North Carolina · 34111
Office
Unavailable
Facility
$504.99
No comparable office rate is available.
North Dakota**
North Dakota · 34111
Office
Unavailable
Facility
$490.53
No comparable office rate is available.
Nebraska
Nebraska · 34111
Office
Unavailable
Facility
$480.47
No comparable office rate is available.
New Hampshire
New Hampshire · 34111
Office
Unavailable
Facility
$536.84
No comparable office rate is available.
Northern Nj
New Jersey · 34111
Office
Unavailable
Facility
$588.32
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 34111
Office
Unavailable
Facility
$576.09
No comparable office rate is available.
New Mexico
New Mexico · 34111
Office
Unavailable
Facility
$554.10
No comparable office rate is available.
Nevada**
Nevada · 34111
Office
Unavailable
Facility
$529.14
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 34111
Office
Unavailable
Facility
$662.67
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 34111
Office
Unavailable
Facility
$588.36
No comparable office rate is available.
Queens
New York · 34111
Office
Unavailable
Facility
$624.56
No comparable office rate is available.
Rest Of New York
New York · 34111
Office
Unavailable
Facility
$512.42
No comparable office rate is available.
Ohio
Ohio · 34111
Office
Unavailable
Facility
$536.31
No comparable office rate is available.
Oklahoma
Oklahoma · 34111
Office
Unavailable
Facility
$513.52
No comparable office rate is available.
Portland
Oregon · 34111
Office
Unavailable
Facility
$537.57
No comparable office rate is available.
Rest Of Oregon
Oregon · 34111
Office
Unavailable
Facility
$516.93
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 34111
Office
Unavailable
Facility
$571.93
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 34111
Office
Unavailable
Facility
$531.12
No comparable office rate is available.
Puerto Rico
Puerto Rico · 34111
Office
Unavailable
Facility
$543.82
No comparable office rate is available.
Rhode Island
Rhode Island · 34111
Office
Unavailable
Facility
$544.36
No comparable office rate is available.
South Carolina
South Carolina · 34111
Office
Unavailable
Facility
$523.14
No comparable office rate is available.
South Dakota**
South Dakota · 34111
Office
Unavailable
Facility
$484.22
No comparable office rate is available.
Tennessee
Tennessee · 34111
Office
Unavailable
Facility
$493.44
No comparable office rate is available.
Austin
Texas · 34111
Office
Unavailable
Facility
$540.21
No comparable office rate is available.
Beaumont
Texas · 34111
Office
Unavailable
Facility
$528.89
No comparable office rate is available.
Brazoria
Texas · 34111
Office
Unavailable
Facility
$526.23
No comparable office rate is available.
Dallas
Texas · 34111
Office
Unavailable
Facility
$534.11
No comparable office rate is available.
Fort Worth
Texas · 34111
Office
Unavailable
Facility
$534.30
No comparable office rate is available.
Galveston
Texas · 34111
Office
Unavailable
Facility
$530.75
No comparable office rate is available.
Houston
Texas · 34111
Office
Unavailable
Facility
$580.17
No comparable office rate is available.
Rest Of Texas
Texas · 34111
Office
Unavailable
Facility
$530.36
No comparable office rate is available.
Utah
Utah · 34111
Office
Unavailable
Facility
$529.03
No comparable office rate is available.
Virginia
Virginia · 34111
Office
Unavailable
Facility
$515.92
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 34111
Office
Unavailable
Facility
$543.82
No comparable office rate is available.
Vermont
Vermont · 34111
Office
Unavailable
Facility
$498.57
No comparable office rate is available.
Rest Of Washington
Washington · 34111
Office
Unavailable
Facility
$532.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 34111
Office
Unavailable
Facility
$567.62
No comparable office rate is available.
Wisconsin
Wisconsin · 34111
Office
Unavailable
Facility
$477.58
No comparable office rate is available.
West Virginia
West Virginia · 34111
Office
Unavailable
Facility
$570.15
No comparable office rate is available.
Wyoming**
Wyoming · 34111
Office
Unavailable
Facility
$520.65
No comparable office rate is available.
See how rates vary across the country
34111 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 34111 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$569.47
$517.70 × 110% = $569.47
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 34111 in Merced.
PPRRVU2026_Oct_nonQPP.csv
4,184
- Code
- 34111
- Physician work
- 10.66
- Practice expense
- 2.93
- Malpractice
- 2.70
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.66 | × 1.017 | 10.8412 |
| Practice expense | 2.93 | × 1.096 | 3.2113 |
| Malpractice | 2.70 | × 0.536 | 1.4472 |
| Total RVUs | 15.4997 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$517.70
Open 34111 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.66 | 1.017 |
| Practice expense | 2.93 | 1.096 |
| Malpractice | 2.7 | 0.536 |
(10.66 × 1.017 + 2.93 × 1.096 + 2.7 × 0.536) × $33.4009 = $517.70
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
34111 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $517.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $517.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $517.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $517.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $545.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $545.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $545.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $545.81 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,18134001,,Removal of artery clot,A,,17.43,3.11,NA,3.11,,4.46,25.00,25.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18234051,,Removal of artery clot,A,,16.57,8.37,NA,8.37,,3.96,28.90,28.90,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18334101,,Removal of artery clot,A,,10.66,2.90,NA,2.90,,2.72,16.28,16.28,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18434111,,Removal of arm artery clot,A,,10.66,2.93,NA,2.93,,2.70,16.29,16.29,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18534151,,Removal of artery clot,A,,25.86,5.40,NA,5.40,,6.56,37.82,37.82,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18634201,,Removal of artery clot,A,,18.99,3.93,NA,3.93,,4.84,27.76,27.76,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18734203,,Removal of leg artery clot,A,,17.41,3.97,NA,3.97,,4.44,25.82,25.82,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623