No office rate
34709 describes placement of an endograft extension; 34712 describes delivery of fixation devices that secure the graft.
On this page
CMS RVU26D · Effective 2026-10-01
34712 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$565.58
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.
Endovascular surgery
About 34712: Transcatheter aortic graft fixation
Reports catheter-based delivery of enhanced fixation devices during endovascular repair of an infrarenal aortic aneurysm or dissection.
This service covers catheter-based placement of enhanced fixation devices to secure an aortic endograft during endovascular repair of an infrarenal abdominal aortic aneurysm or dissection. The devices reinforce graft attachment to the aortic wall. Vascular surgeons and other physicians performing endovascular aortic repair typically deliver them in an operating room or hybrid suite, using imaging guidance as needed.
Report 34712 for the fixation-device delivery performed at the time of the aortic repair, not for placement of an extension graft or for the repair itself. Documentation should identify the repair, the fixation-device delivery, and its clinical purpose. The CMS global period is 90 days and includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment and co-surgeon reporting are permitted; team surgery is not permitted.
CMS billing rules for 34712
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.70 · 66%
- Practice expense (office) RVU3.17 · 18%
- Malpractice RVU2.91 · 16%
975
Medicare services in 2024 · #2988 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.
34712 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
34710 covers delayed placement of an extension prosthesis. 34712 concerns fixation-device delivery during the endovascular aortic repair.
No office rate
34713 describes percutaneous femoral artery access and closure. It does not represent the aortic graft fixation-device delivery reported with 34712.
The same code, a different location
How does Modesto compare?
34712 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 · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Merced
California · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Napa
California · 34712
Office
Unavailable
Facility
$604.34
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 34712
Office
Unavailable
Facility
$587.44
No comparable office rate is available.
Redding
California · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Rest Of California
California · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 34712
Office
Unavailable
Facility
$596.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 34712
Office
Unavailable
Facility
$580.10
No comparable office rate is available.
Salinas
California · 34712
Office
Unavailable
Facility
$577.72
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 34712
Office
Unavailable
Facility
$581.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 34712
Office
Unavailable
Facility
$621.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 34712
Office
Unavailable
Facility
$618.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 34712
Office
Unavailable
Facility
$638.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 34712
Office
Unavailable
Facility
$625.04
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 34712
Office
Unavailable
Facility
$570.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 34712
Office
Unavailable
Facility
$579.74
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 34712
Office
Unavailable
Facility
$577.29
No comparable office rate is available.
Santa Rosa-Petaluma
California · 34712
Office
Unavailable
Facility
$584.63
No comparable office rate is available.
Stockton
California · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Vallejo
California · 34712
Office
Unavailable
Facility
$599.57
No comparable office rate is available.
Visalia
California · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Yuba City
California · 34712
Office
Unavailable
Facility
$565.58
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 34712
Office
Unavailable
Facility
$644.80
No comparable office rate is available.
Miami
Florida · 34712
Office
Unavailable
Facility
$746.82
No comparable office rate is available.
Chicago
Illinois · 34712
Office
Unavailable
Facility
$723.00
No comparable office rate is available.
Manhattan
New York · 34712
Office
Unavailable
Facility
$692.99
No comparable office rate is available.
Alaska*
Alaska · 34712
Office
Unavailable
Facility
$752.50
No comparable office rate is available.
Alabama
Alabama · 34712
Office
Unavailable
Facility
$538.45
No comparable office rate is available.
Arkansas
Arkansas · 34712
Office
Unavailable
Facility
$531.80
No comparable office rate is available.
Arizona
Arizona · 34712
Office
Unavailable
Facility
$576.59
No comparable office rate is available.
Colorado
Colorado · 34712
Office
Unavailable
Facility
$584.05
No comparable office rate is available.
Connecticut
Connecticut · 34712
Office
Unavailable
Facility
$630.25
No comparable office rate is available.
Delaware
Delaware · 34712
Office
Unavailable
Facility
$584.73
No comparable office rate is available.
Fort Lauderdale
Florida · 34712
Office
Unavailable
Facility
$673.78
No comparable office rate is available.
Rest Of Florida
Florida · 34712
Office
Unavailable
Facility
$638.10
No comparable office rate is available.
Atlanta
Georgia · 34712
Office
Unavailable
Facility
$616.27
No comparable office rate is available.
Rest Of Georgia
Georgia · 34712
Office
Unavailable
Facility
$601.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 34712
Office
Unavailable
Facility
$567.45
No comparable office rate is available.
Iowa
Iowa · 34712
Office
Unavailable
Facility
$526.26
No comparable office rate is available.
Idaho
Idaho · 34712
Office
Unavailable
Facility
$534.17
No comparable office rate is available.
East St. Louis
Illinois · 34712
Office
Unavailable
Facility
$683.95
No comparable office rate is available.
Rest Of Illinois
Illinois · 34712
Office
Unavailable
Facility
$639.38
No comparable office rate is available.
Suburban Chicago
Illinois · 34712
Office
Unavailable
Facility
$674.50
No comparable office rate is available.
Indiana
Indiana · 34712
Office
Unavailable
Facility
$536.18
No comparable office rate is available.
Kansas
Kansas · 34712
Office
Unavailable
Facility
$535.49
No comparable office rate is available.
Kentucky
Kentucky · 34712
Office
Unavailable
Facility
$573.85
No comparable office rate is available.
New Orleans
Louisiana · 34712
Office
Unavailable
Facility
$600.84
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 34712
Office
Unavailable
Facility
$577.61
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 34712
Office
Unavailable
Facility
$619.74
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 34712
Office
Unavailable
Facility
$586.00
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 34712
Office
Unavailable
Facility
$630.89
No comparable office rate is available.
Rest Of Maryland
Maryland · 34712
Office
Unavailable
Facility
$591.08
No comparable office rate is available.
Rest Of Maine
Maine · 34712
Office
Unavailable
Facility
$548.66
No comparable office rate is available.
Southern Maine
Maine · 34712
Office
Unavailable
Facility
$557.05
No comparable office rate is available.
Detroit
Michigan · 34712
Office
Unavailable
Facility
$656.84
No comparable office rate is available.
Rest Of Michigan
Michigan · 34712
Office
Unavailable
Facility
$597.19
No comparable office rate is available.
Minnesota
Minnesota · 34712
Office
Unavailable
Facility
$528.51
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 34712
Office
Unavailable
Facility
$585.17
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 34712
Office
Unavailable
Facility
$588.98
No comparable office rate is available.
Rest Of Missouri
Missouri · 34712
Office
Unavailable
Facility
$576.73
No comparable office rate is available.
Mississippi
Mississippi · 34712
Office
Unavailable
Facility
$553.78
No comparable office rate is available.
Montana**
Montana · 34712
Office
Unavailable
Facility
$593.67
No comparable office rate is available.
North Carolina
North Carolina · 34712
Office
Unavailable
Facility
$551.69
No comparable office rate is available.
North Dakota**
North Dakota · 34712
Office
Unavailable
Facility
$536.13
No comparable office rate is available.
Nebraska
Nebraska · 34712
Office
Unavailable
Facility
$525.26
No comparable office rate is available.
New Hampshire
New Hampshire · 34712
Office
Unavailable
Facility
$586.06
No comparable office rate is available.
Northern Nj
New Jersey · 34712
Office
Unavailable
Facility
$642.04
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 34712
Office
Unavailable
Facility
$628.67
No comparable office rate is available.
New Mexico
New Mexico · 34712
Office
Unavailable
Facility
$604.62
No comparable office rate is available.
Nevada**
Nevada · 34712
Office
Unavailable
Facility
$577.74
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 34712
Office
Unavailable
Facility
$722.19
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 34712
Office
Unavailable
Facility
$641.92
No comparable office rate is available.
Queens
New York · 34712
Office
Unavailable
Facility
$681.11
No comparable office rate is available.
Rest Of New York
New York · 34712
Office
Unavailable
Facility
$559.71
No comparable office rate is available.
Ohio
Ohio · 34712
Office
Unavailable
Facility
$585.43
No comparable office rate is available.
Oklahoma
Oklahoma · 34712
Office
Unavailable
Facility
$560.86
No comparable office rate is available.
Portland
Oregon · 34712
Office
Unavailable
Facility
$586.99
No comparable office rate is available.
Rest Of Oregon
Oregon · 34712
Office
Unavailable
Facility
$564.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 34712
Office
Unavailable
Facility
$624.00
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 34712
Office
Unavailable
Facility
$579.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · 34712
Office
Unavailable
Facility
$593.57
No comparable office rate is available.
Rhode Island
Rhode Island · 34712
Office
Unavailable
Facility
$594.29
No comparable office rate is available.
South Carolina
South Carolina · 34712
Office
Unavailable
Facility
$571.24
No comparable office rate is available.
South Dakota**
South Dakota · 34712
Office
Unavailable
Facility
$529.33
No comparable office rate is available.
Tennessee
Tennessee · 34712
Office
Unavailable
Facility
$539.23
No comparable office rate is available.
Austin
Texas · 34712
Office
Unavailable
Facility
$589.71
No comparable office rate is available.
Beaumont
Texas · 34712
Office
Unavailable
Facility
$577.44
No comparable office rate is available.
Brazoria
Texas · 34712
Office
Unavailable
Facility
$574.66
No comparable office rate is available.
Dallas
Texas · 34712
Office
Unavailable
Facility
$583.16
No comparable office rate is available.
Fort Worth
Texas · 34712
Office
Unavailable
Facility
$583.36
No comparable office rate is available.
Galveston
Texas · 34712
Office
Unavailable
Facility
$579.54
No comparable office rate is available.
Houston
Texas · 34712
Office
Unavailable
Facility
$632.80
No comparable office rate is available.
Rest Of Texas
Texas · 34712
Office
Unavailable
Facility
$579.04
No comparable office rate is available.
Utah
Utah · 34712
Office
Unavailable
Facility
$577.60
No comparable office rate is available.
Virginia
Virginia · 34712
Office
Unavailable
Facility
$563.49
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 34712
Office
Unavailable
Facility
$593.57
No comparable office rate is available.
Vermont
Vermont · 34712
Office
Unavailable
Facility
$544.79
No comparable office rate is available.
Rest Of Washington
Washington · 34712
Office
Unavailable
Facility
$581.33
No comparable office rate is available.
Seattle (King Cnty)
Washington · 34712
Office
Unavailable
Facility
$619.66
No comparable office rate is available.
Wisconsin
Wisconsin · 34712
Office
Unavailable
Facility
$522.16
No comparable office rate is available.
West Virginia
West Virginia · 34712
Office
Unavailable
Facility
$621.89
No comparable office rate is available.
Wyoming**
Wyoming · 34712
Office
Unavailable
Facility
$568.60
No comparable office rate is available.
See how rates vary across the country
34712 · 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 34712 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$622.14
$565.58 × 110% = $622.14
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 34712 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
4,214
- Code
- 34712
- Physician work
- 11.70
- Practice expense
- 3.17
- Malpractice
- 2.91
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.70 | × 1.017 | 11.8989 |
| Practice expense | 3.17 | × 1.096 | 3.4743 |
| Malpractice | 2.91 | × 0.536 | 1.5598 |
| Total RVUs | 16.9330 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$565.58
Open 34712 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.7 | 1.017 |
| Practice expense | 3.17 | 1.096 |
| Malpractice | 2.91 | 0.536 |
(11.7 × 1.017 + 3.17 × 1.096 + 2.91 × 0.536) × $33.4009 = $565.58
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
34712 · 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 | $565.58 | RVU26D |
| 2026-07-01 | Not available in this setting | $565.58 | RVU26C |
| 2026-04-01 | Not available in this setting | $565.58 | RVU26B |
| 2026-01-01 | Not available in this setting | $565.58 | RVU26A |
| 2025-10-01 | Not available in this setting | $599.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $599.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $599.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $599.73 | RVU25A |
34712 billing questions
How is 34712 different from an aortic extension graft code?
34712 describes delivery of enhanced fixation devices to secure the endograft. An extension-graft code describes placement of an additional graft segment to extend or modify the repair.
Can 34712 be reported without an endovascular aortic repair?
The service is defined for delivery of fixation devices at the time of endovascular repair of an infrarenal aortic aneurysm or dissection. Document the associated repair and the device delivery.
Is imaging guidance separately included in this service?
Radiological supervision and interpretation associated with the fixation-device delivery are included when performed.
What documentation supports reporting 34712?
The operative report should identify the infrarenal aortic repair, the enhanced fixation-device delivery, and why the devices were used to secure the endograft.
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?
CMS permits assistant-at-surgery payment and co-surgeon reporting for this code. 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.
4,2113470F,,Ra disease activity low,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
4,21234710,,Dlyd plmt xtn prosth 1st vsl,A,,14.63,3.35,NA,3.35,,3.65,21.63,21.63,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21334711,,Dlyd plmt xtn prosth ea addl,A,,5.85,0.60,NA,0.60,,1.46,7.91,7.91,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21434712,,Tcat dlvr enhncd fixj dev,A,,11.70,3.17,NA,3.17,,2.91,17.78,17.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21534713,,Perq access & clsr fem art,A,,2.44,0.26,NA,0.26,,0.60,3.30,3.30,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21634714,,Opn fem art expos cndt crtj,A,,5.12,0.94,NA,0.94,,1.28,7.34,7.34,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21734715,,Opn ax/subcla art expos,A,,5.85,0.74,NA,0.74,,1.48,8.07,8.07,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,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