No office rate
Choose 34520 for a crossover vein graft between femoral veins. Choose 34530 when the documented procedure is a direct venous connection in a lower extremity.
On this page
CMS RVU26D · Effective 2026-10-01
34530 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$813.83
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 34530: Lower-extremity venous anastomosis
Reports open surgical joining of veins in a lower extremity to establish or restore venous flow, rather than valve repair or a crossover graft.
This code describes an open surgical connection between veins in a leg. A vascular surgeon may perform the anastomosis during operative reconstruction when the documented procedure is a direct vein-to-vein connection; the operative report should identify the veins joined and the work performed. It is distinct from an operation that repairs or repositions a venous valve, or uses a graft to create a crossover route.
Report the code when the operative documentation supports a lower-extremity venous anastomosis, not merely because venous connections are part of another coded procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 34530
- 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 RVU17.48 · 68%
- Practice expense (office) RVU3.83 · 15%
- Malpractice RVU4.46 · 17%
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.
34530 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
34501 is for repair of a femoral venous valve. It does not describe joining leg veins.
No office rate
34510 describes transposition of a venous valve. Use 34530 for a direct lower-extremity venous anastomosis instead.
The same code, a different location
How does Modesto compare?
34530 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Merced
California · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Napa
California · 34530
Office
Unavailable
Facility
$864.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 34530
Office
Unavailable
Facility
$844.21
No comparable office rate is available.
Redding
California · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Rest Of California
California · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 34530
Office
Unavailable
Facility
$861.63
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 34530
Office
Unavailable
Facility
$833.49
No comparable office rate is available.
Salinas
California · 34530
Office
Unavailable
Facility
$830.06
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 34530
Office
Unavailable
Facility
$835.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 34530
Office
Unavailable
Facility
$888.06
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 34530
Office
Unavailable
Facility
$883.00
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 34530
Office
Unavailable
Facility
$912.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 34530
Office
Unavailable
Facility
$891.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 34530
Office
Unavailable
Facility
$819.33
No comparable office rate is available.
Santa Cruz-Watsonville
California · 34530
Office
Unavailable
Facility
$831.38
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 34530
Office
Unavailable
Facility
$829.20
No comparable office rate is available.
Santa Rosa-Petaluma
California · 34530
Office
Unavailable
Facility
$838.30
No comparable office rate is available.
Stockton
California · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Vallejo
California · 34530
Office
Unavailable
Facility
$857.61
No comparable office rate is available.
Visalia
California · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Yuba City
California · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 34530
Office
Unavailable
Facility
$931.87
No comparable office rate is available.
Miami
Florida · 34530
Office
Unavailable
Facility
$1093.76
No comparable office rate is available.
Chicago
Illinois · 34530
Office
Unavailable
Facility
$1058.38
No comparable office rate is available.
Manhattan
New York · 34530
Office
Unavailable
Facility
$1006.13
No comparable office rate is available.
Alaska*
Alaska · 34530
Office
Unavailable
Facility
$1094.09
No comparable office rate is available.
Alabama
Alabama · 34530
Office
Unavailable
Facility
$780.10
No comparable office rate is available.
Arkansas
Arkansas · 34530
Office
Unavailable
Facility
$770.45
No comparable office rate is available.
Arizona
Arizona · 34530
Office
Unavailable
Facility
$835.32
No comparable office rate is available.
Colorado
Colorado · 34530
Office
Unavailable
Facility
$843.31
No comparable office rate is available.
Connecticut
Connecticut · 34530
Office
Unavailable
Facility
$913.55
No comparable office rate is available.
Delaware
Delaware · 34530
Office
Unavailable
Facility
$847.08
No comparable office rate is available.
Fort Lauderdale
Florida · 34530
Office
Unavailable
Facility
$982.77
No comparable office rate is available.
Rest Of Florida
Florida · 34530
Office
Unavailable
Facility
$930.04
No comparable office rate is available.
Atlanta
Georgia · 34530
Office
Unavailable
Facility
$894.48
No comparable office rate is available.
Rest Of Georgia
Georgia · 34530
Office
Unavailable
Facility
$875.53
No comparable office rate is available.
Hawaii, Guam
Hawaii · 34530
Office
Unavailable
Facility
$815.55
No comparable office rate is available.
Iowa
Iowa · 34530
Office
Unavailable
Facility
$760.04
No comparable office rate is available.
Idaho
Idaho · 34530
Office
Unavailable
Facility
$772.00
No comparable office rate is available.
East St. Louis
Illinois · 34530
Office
Unavailable
Facility
$1001.56
No comparable office rate is available.
Rest Of Illinois
Illinois · 34530
Office
Unavailable
Facility
$933.48
No comparable office rate is available.
Suburban Chicago
Illinois · 34530
Office
Unavailable
Facility
$983.29
No comparable office rate is available.
Indiana
Indiana · 34530
Office
Unavailable
Facility
$774.83
No comparable office rate is available.
Kansas
Kansas · 34530
Office
Unavailable
Facility
$774.57
No comparable office rate is available.
Kentucky
Kentucky · 34530
Office
Unavailable
Facility
$833.88
No comparable office rate is available.
New Orleans
Louisiana · 34530
Office
Unavailable
Facility
$873.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 34530
Office
Unavailable
Facility
$839.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 34530
Office
Unavailable
Facility
$893.11
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 34530
Office
Unavailable
Facility
$846.62
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 34530
Office
Unavailable
Facility
$914.73
No comparable office rate is available.
Rest Of Maryland
Maryland · 34530
Office
Unavailable
Facility
$855.90
No comparable office rate is available.
Rest Of Maine
Maine · 34530
Office
Unavailable
Facility
$794.20
No comparable office rate is available.
Southern Maine
Maine · 34530
Office
Unavailable
Facility
$804.62
No comparable office rate is available.
Detroit
Michigan · 34530
Office
Unavailable
Facility
$958.46
No comparable office rate is available.
Rest Of Michigan
Michigan · 34530
Office
Unavailable
Facility
$868.83
No comparable office rate is available.
Minnesota
Minnesota · 34530
Office
Unavailable
Facility
$759.58
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 34530
Office
Unavailable
Facility
$849.51
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 34530
Office
Unavailable
Facility
$854.90
No comparable office rate is available.
Rest Of Missouri
Missouri · 34530
Office
Unavailable
Facility
$839.21
No comparable office rate is available.
Mississippi
Mississippi · 34530
Office
Unavailable
Facility
$804.08
No comparable office rate is available.
Montana**
Montana · 34530
Office
Unavailable
Facility
$860.44
No comparable office rate is available.
North Carolina
North Carolina · 34530
Office
Unavailable
Facility
$798.39
No comparable office rate is available.
North Dakota**
North Dakota · 34530
Office
Unavailable
Facility
$772.25
No comparable office rate is available.
Nebraska
Nebraska · 34530
Office
Unavailable
Facility
$758.23
No comparable office rate is available.
New Hampshire
New Hampshire · 34530
Office
Unavailable
Facility
$847.37
No comparable office rate is available.
Northern Nj
New Jersey · 34530
Office
Unavailable
Facility
$928.12
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 34530
Office
Unavailable
Facility
$910.31
No comparable office rate is available.
New Mexico
New Mexico · 34530
Office
Unavailable
Facility
$880.07
No comparable office rate is available.
Nevada**
Nevada · 34530
Office
Unavailable
Facility
$835.99
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 34530
Office
Unavailable
Facility
$1049.95
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 34530
Office
Unavailable
Facility
$930.45
No comparable office rate is available.
Queens
New York · 34530
Office
Unavailable
Facility
$987.23
No comparable office rate is available.
Rest Of New York
New York · 34530
Office
Unavailable
Facility
$810.10
No comparable office rate is available.
Ohio
Ohio · 34530
Office
Unavailable
Facility
$850.80
No comparable office rate is available.
Oklahoma
Oklahoma · 34530
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Portland
Oregon · 34530
Office
Unavailable
Facility
$846.15
No comparable office rate is available.
Rest Of Oregon
Oregon · 34530
Office
Unavailable
Facility
$815.99
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 34530
Office
Unavailable
Facility
$905.25
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 34530
Office
Unavailable
Facility
$842.06
No comparable office rate is available.
Puerto Rico
Puerto Rico · 34530
Office
Unavailable
Facility
$859.91
No comparable office rate is available.
Rhode Island
Rhode Island · 34530
Office
Unavailable
Facility
$859.97
No comparable office rate is available.
South Carolina
South Carolina · 34530
Office
Unavailable
Facility
$828.67
No comparable office rate is available.
South Dakota**
South Dakota · 34530
Office
Unavailable
Facility
$761.83
No comparable office rate is available.
Tennessee
Tennessee · 34530
Office
Unavailable
Facility
$780.13
No comparable office rate is available.
Austin
Texas · 34530
Office
Unavailable
Facility
$852.35
No comparable office rate is available.
Beaumont
Texas · 34530
Office
Unavailable
Facility
$838.65
No comparable office rate is available.
Brazoria
Texas · 34530
Office
Unavailable
Facility
$831.49
No comparable office rate is available.
Dallas
Texas · 34530
Office
Unavailable
Facility
$844.33
No comparable office rate is available.
Fort Worth
Texas · 34530
Office
Unavailable
Facility
$844.99
No comparable office rate is available.
Galveston
Texas · 34530
Office
Unavailable
Facility
$838.89
No comparable office rate is available.
Houston
Texas · 34530
Office
Unavailable
Facility
$920.53
No comparable office rate is available.
Rest Of Texas
Texas · 34530
Office
Unavailable
Facility
$839.77
No comparable office rate is available.
Utah
Utah · 34530
Office
Unavailable
Facility
$837.87
No comparable office rate is available.
Virginia
Virginia · 34530
Office
Unavailable
Facility
$814.77
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 34530
Office
Unavailable
Facility
$859.91
No comparable office rate is available.
Vermont
Vermont · 34530
Office
Unavailable
Facility
$785.87
No comparable office rate is available.
Rest Of Washington
Washington · 34530
Office
Unavailable
Facility
$839.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 34530
Office
Unavailable
Facility
$891.71
No comparable office rate is available.
Wisconsin
Wisconsin · 34530
Office
Unavailable
Facility
$752.28
No comparable office rate is available.
West Virginia
West Virginia · 34530
Office
Unavailable
Facility
$908.19
No comparable office rate is available.
Wyoming**
Wyoming · 34530
Office
Unavailable
Facility
$822.01
No comparable office rate is available.
See how rates vary across the country
34530 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 34530 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$895.21
$813.83 × 110% = $895.21
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 34530 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
4,200
- Code
- 34530
- Physician work
- 17.48
- Practice expense
- 3.83
- Malpractice
- 4.46
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.48 | × 1.017 | 17.7772 |
| Practice expense | 3.83 | × 1.096 | 4.1977 |
| Malpractice | 4.46 | × 0.536 | 2.3906 |
| Total RVUs | 24.3654 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$813.83
Open 34530 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.48 | 1.017 |
| Practice expense | 3.83 | 1.096 |
| Malpractice | 4.46 | 0.536 |
(17.48 × 1.017 + 3.83 × 1.096 + 4.46 × 0.536) × $33.4009 = $813.83
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
34530 · 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 | $813.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $813.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $813.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $813.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $859.06 | RVU25D |
| 2025-07-01 | Not available in this setting | $859.06 | RVU25C |
| 2025-04-01 | Not available in this setting | $859.06 | RVU25B |
| 2025-01-01 | Not available in this setting | $859.06 | RVU25A |
34530 billing questions
How is this different from a femoral vein crossover graft?
34530 describes a direct lower-extremity vein-to-vein connection. 34520 describes a crossover vein graft between femoral veins, so select based on the operation documented rather than treating the terms as interchangeable.
Should I report 34530 for an anastomosis made during another operation?
The operative report must support a separately reportable lower-extremity venous anastomosis. Do not select 34530 solely because an anastomosis is mentioned as part of another procedure.
Can modifier 50 be used for bilateral work?
Yes. CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
How does Medicare treat another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,1973451F,,Dyspnea scrnd mod-high dysp,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,19834520,,Cross-over vein graft,A,,18.70,3.57,NA,3.57,,4.77,27.04,27.04,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1993452F,,Dyspnea not screened,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20034530,,Leg vein fusion,A,,17.48,3.83,NA,3.83,,4.46,25.77,25.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2013455F,,Tb scr pfrmd&interpd 6 mo,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20234701,,Evasc rpr a-ao ndgft,A,,23.12,4.51,NA,4.51,,5.78,33.41,33.41,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20334702,,Evasc rpr a-ao ndgft rpt,A,,35.10,4.64,NA,4.64,,8.99,48.73,48.73,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536