No office rate
34421 applies when the treated vein is the femoral vein; 34451 applies to the popliteal vein. Follow the documented operative site.
On this page
CMS RVU26D · Effective 2026-10-01
34451 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1225.34
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 34451: Open popliteal vein thrombectomy
Open thrombectomy of the popliteal vein removes venous clot directly or with catheter assistance when treatment targets this specific vein.
This service removes thrombus from the popliteal vein through open surgical access, using direct extraction or catheter assistance. Vascular surgeons typically perform it in an operating room for clinically significant venous thrombosis requiring surgical removal. The code is selected by the treated vein: the operative record should identify the popliteal vein and describe the access and clot-removal method.
Report the procedure once for the treated popliteal vein and support the site and work with the operative note. It has a 90-day global period, including the day-before preoperative visit and related postoperative care during that 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. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 34451
- 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 RVU27.81 · 71%
- Practice expense (office) RVU4.19 · 11%
- Malpractice RVU7.11 · 18%
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.
34451 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
34401 targets the iliac vein, whereas 34451 targets the popliteal vein.
$1,709.33
37187 describes endovascular mechanical thrombectomy. Use 34451 for open surgical clot removal from the popliteal vein.
The same code, a different location
How does Redding compare?
34451 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Merced
California · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Modesto
California · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Napa
California · 34451
Office
Unavailable
Facility
$1292.49
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 34451
Office
Unavailable
Facility
$1268.26
No comparable office rate is available.
Rest Of California
California · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 34451
Office
Unavailable
Facility
$1301.55
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 34451
Office
Unavailable
Facility
$1252.37
No comparable office rate is available.
Salinas
California · 34451
Office
Unavailable
Facility
$1247.17
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 34451
Office
Unavailable
Facility
$1252.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 34451
Office
Unavailable
Facility
$1323.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 34451
Office
Unavailable
Facility
$1315.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 34451
Office
Unavailable
Facility
$1360.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 34451
Office
Unavailable
Facility
$1327.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 34451
Office
Unavailable
Facility
$1231.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 34451
Office
Unavailable
Facility
$1245.71
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 34451
Office
Unavailable
Facility
$1245.36
No comparable office rate is available.
Santa Rosa-Petaluma
California · 34451
Office
Unavailable
Facility
$1255.89
No comparable office rate is available.
Stockton
California · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Vallejo
California · 34451
Office
Unavailable
Facility
$1280.86
No comparable office rate is available.
Visalia
California · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Yuba City
California · 34451
Office
Unavailable
Facility
$1225.34
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 34451
Office
Unavailable
Facility
$1408.22
No comparable office rate is available.
Miami
Florida · 34451
Office
Unavailable
Facility
$1675.15
No comparable office rate is available.
Chicago
Illinois · 34451
Office
Unavailable
Facility
$1621.05
No comparable office rate is available.
Manhattan
New York · 34451
Office
Unavailable
Facility
$1527.59
No comparable office rate is available.
Alaska*
Alaska · 34451
Office
Unavailable
Facility
$1673.22
No comparable office rate is available.
Alabama
Alabama · 34451
Office
Unavailable
Facility
$1185.75
No comparable office rate is available.
Arkansas
Arkansas · 34451
Office
Unavailable
Facility
$1171.40
No comparable office rate is available.
Arizona
Arizona · 34451
Office
Unavailable
Facility
$1267.77
No comparable office rate is available.
Colorado
Colorado · 34451
Office
Unavailable
Facility
$1274.40
No comparable office rate is available.
Connecticut
Connecticut · 34451
Office
Unavailable
Facility
$1385.53
No comparable office rate is available.
Delaware
Delaware · 34451
Office
Unavailable
Facility
$1285.29
No comparable office rate is available.
Fort Lauderdale
Florida · 34451
Office
Unavailable
Facility
$1500.01
No comparable office rate is available.
Rest Of Florida
Florida · 34451
Office
Unavailable
Facility
$1419.60
No comparable office rate is available.
Atlanta
Georgia · 34451
Office
Unavailable
Facility
$1359.07
No comparable office rate is available.
Rest Of Georgia
Georgia · 34451
Office
Unavailable
Facility
$1336.79
No comparable office rate is available.
Hawaii, Guam
Hawaii · 34451
Office
Unavailable
Facility
$1225.50
No comparable office rate is available.
Iowa
Iowa · 34451
Office
Unavailable
Facility
$1151.21
No comparable office rate is available.
Idaho
Idaho · 34451
Office
Unavailable
Facility
$1169.96
No comparable office rate is available.
East St. Louis
Illinois · 34451
Office
Unavailable
Facility
$1535.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 34451
Office
Unavailable
Facility
$1427.84
No comparable office rate is available.
Suburban Chicago
Illinois · 34451
Office
Unavailable
Facility
$1499.92
No comparable office rate is available.
Indiana
Indiana · 34451
Office
Unavailable
Facility
$1174.03
No comparable office rate is available.
Kansas
Kansas · 34451
Office
Unavailable
Facility
$1175.08
No comparable office rate is available.
Kentucky
Kentucky · 34451
Office
Unavailable
Facility
$1270.59
No comparable office rate is available.
New Orleans
Louisiana · 34451
Office
Unavailable
Facility
$1330.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 34451
Office
Unavailable
Facility
$1280.24
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 34451
Office
Unavailable
Facility
$1345.42
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 34451
Office
Unavailable
Facility
$1280.38
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 34451
Office
Unavailable
Facility
$1387.67
No comparable office rate is available.
Rest Of Maryland
Maryland · 34451
Office
Unavailable
Facility
$1297.80
No comparable office rate is available.
Rest Of Maine
Maine · 34451
Office
Unavailable
Facility
$1205.35
No comparable office rate is available.
Southern Maine
Maine · 34451
Office
Unavailable
Facility
$1217.42
No comparable office rate is available.
Detroit
Michigan · 34451
Office
Unavailable
Facility
$1464.32
No comparable office rate is available.
Rest Of Michigan
Michigan · 34451
Office
Unavailable
Facility
$1324.77
No comparable office rate is available.
Minnesota
Minnesota · 34451
Office
Unavailable
Facility
$1143.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 34451
Office
Unavailable
Facility
$1292.31
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 34451
Office
Unavailable
Facility
$1300.07
No comparable office rate is available.
Rest Of Missouri
Missouri · 34451
Office
Unavailable
Facility
$1280.82
No comparable office rate is available.
Mississippi
Mississippi · 34451
Office
Unavailable
Facility
$1224.87
No comparable office rate is available.
Montana**
Montana · 34451
Office
Unavailable
Facility
$1305.83
No comparable office rate is available.
North Carolina
North Carolina · 34451
Office
Unavailable
Facility
$1211.20
No comparable office rate is available.
North Dakota**
North Dakota · 34451
Office
Unavailable
Facility
$1165.25
No comparable office rate is available.
Nebraska
Nebraska · 34451
Office
Unavailable
Facility
$1147.82
No comparable office rate is available.
New Hampshire
New Hampshire · 34451
Office
Unavailable
Facility
$1282.36
No comparable office rate is available.
Northern Nj
New Jersey · 34451
Office
Unavailable
Facility
$1403.37
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 34451
Office
Unavailable
Facility
$1379.38
No comparable office rate is available.
New Mexico
New Mexico · 34451
Office
Unavailable
Facility
$1342.43
No comparable office rate is available.
Nevada**
Nevada · 34451
Office
Unavailable
Facility
$1266.79
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 34451
Office
Unavailable
Facility
$1595.73
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 34451
Office
Unavailable
Facility
$1411.27
No comparable office rate is available.
Queens
New York · 34451
Office
Unavailable
Facility
$1496.19
No comparable office rate is available.
Rest Of New York
New York · 34451
Office
Unavailable
Facility
$1228.78
No comparable office rate is available.
Ohio
Ohio · 34451
Office
Unavailable
Facility
$1296.03
No comparable office rate is available.
Oklahoma
Oklahoma · 34451
Office
Unavailable
Facility
$1238.38
No comparable office rate is available.
Portland
Oregon · 34451
Office
Unavailable
Facility
$1275.91
No comparable office rate is available.
Rest Of Oregon
Oregon · 34451
Office
Unavailable
Facility
$1235.22
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 34451
Office
Unavailable
Facility
$1374.60
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 34451
Office
Unavailable
Facility
$1281.77
No comparable office rate is available.
Puerto Rico
Puerto Rico · 34451
Office
Unavailable
Facility
$1304.29
No comparable office rate is available.
Rhode Island
Rhode Island · 34451
Office
Unavailable
Facility
$1302.93
No comparable office rate is available.
South Carolina
South Carolina · 34451
Office
Unavailable
Facility
$1260.05
No comparable office rate is available.
South Dakota**
South Dakota · 34451
Office
Unavailable
Facility
$1148.62
No comparable office rate is available.
Tennessee
Tennessee · 34451
Office
Unavailable
Facility
$1183.62
No comparable office rate is available.
Austin
Texas · 34451
Office
Unavailable
Facility
$1289.21
No comparable office rate is available.
Beaumont
Texas · 34451
Office
Unavailable
Facility
$1276.85
No comparable office rate is available.
Brazoria
Texas · 34451
Office
Unavailable
Facility
$1260.23
No comparable office rate is available.
Dallas
Texas · 34451
Office
Unavailable
Facility
$1280.39
No comparable office rate is available.
Fort Worth
Texas · 34451
Office
Unavailable
Facility
$1282.07
No comparable office rate is available.
Galveston
Texas · 34451
Office
Unavailable
Facility
$1271.91
No comparable office rate is available.
Houston
Texas · 34451
Office
Unavailable
Facility
$1402.05
No comparable office rate is available.
Rest Of Texas
Texas · 34451
Office
Unavailable
Facility
$1276.14
No comparable office rate is available.
Utah
Utah · 34451
Office
Unavailable
Facility
$1273.69
No comparable office rate is available.
Virginia
Virginia · 34451
Office
Unavailable
Facility
$1234.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 34451
Office
Unavailable
Facility
$1304.29
No comparable office rate is available.
Vermont
Vermont · 34451
Office
Unavailable
Facility
$1187.59
No comparable office rate is available.
Rest Of Washington
Washington · 34451
Office
Unavailable
Facility
$1269.04
No comparable office rate is available.
Seattle (King Cnty)
Washington · 34451
Office
Unavailable
Facility
$1341.06
No comparable office rate is available.
Wisconsin
Wisconsin · 34451
Office
Unavailable
Facility
$1136.09
No comparable office rate is available.
West Virginia
West Virginia · 34451
Office
Unavailable
Facility
$1390.33
No comparable office rate is available.
Wyoming**
Wyoming · 34451
Office
Unavailable
Facility
$1244.56
No comparable office rate is available.
See how rates vary across the country
34451 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 34451 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1347.87
$1225.34 × 110% = $1347.87
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 34451 in Redding.
PPRRVU2026_Oct_nonQPP.csv
4,190
- Code
- 34451
- Physician work
- 27.81
- Practice expense
- 4.19
- Malpractice
- 7.11
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.81 | × 1.017 | 28.2828 |
| Practice expense | 4.19 | × 1.096 | 4.5922 |
| Malpractice | 7.11 | × 0.536 | 3.8110 |
| Total RVUs | 36.6860 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1225.34
Open 34451 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.81 | 1.017 |
| Practice expense | 4.19 | 1.096 |
| Malpractice | 7.11 | 0.536 |
(27.81 × 1.017 + 4.19 × 1.096 + 7.11 × 0.536) × $33.4009 = $1225.34
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
34451 · 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 | $1225.34 | RVU26D |
| 2026-07-01 | Not available in this setting | $1225.34 | RVU26C |
| 2026-04-01 | Not available in this setting | $1225.34 | RVU26B |
| 2026-01-01 | Not available in this setting | $1225.34 | RVU26A |
| 2025-10-01 | Not available in this setting | $1297.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $1297.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $1297.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $1297.00 | RVU25A |
34451 billing questions
How is this code distinguished from femoral vein thrombectomy?
Use this code when the treated thrombus is in the popliteal vein. The femoral vein is reported with 34421; document the operative site clearly.
When is 34401 more appropriate?
34401 is for thrombectomy targeting the iliac vein. Choose this code when the treated segment is the popliteal vein.
Can an endovascular thrombectomy code be used instead?
Code 37187 describes endovascular mechanical thrombectomy, while this code represents open surgical removal from the popliteal vein. The documented approach and treated anatomy determine the choice.
What documentation supports reporting this code?
The operative report should identify the popliteal vein as the treated site and describe the surgical access and direct or catheter-assisted clot removal.
How are bilateral procedures and other same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction.
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.
4,18734203,,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
4,18834401,,Removal of vein clot,A,,25.86,4.03,NA,4.03,,6.60,36.49,36.49,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18934421,,Removal of vein clot,A,,13.04,2.66,NA,2.66,,3.32,19.02,19.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,19034451,,Removal of vein clot,A,,27.81,4.19,NA,4.19,,7.11,39.11,39.11,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,19134471,,Removal of vein clot,A,,20.58,3.62,NA,3.62,,5.25,29.45,29.45,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,19234490,,Removal of vein clot,A,,10.64,2.44,NA,2.44,,2.72,15.80,15.80,0,090,0.09,0.84,0.07,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,19334501,,Repair valve femoral vein,A,,16.43,3.95,NA,3.95,,4.19,24.57,24.57,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536