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CMS RVU26D · Effective 2026-10-01

34471 Venous thrombectomy Medicare reimbursement rates in Arkansas

Open thrombectomy removes clot from the femoral vein through a leg incision, using direct extraction or a catheter during surgical treatment. Compare 34471 office and facility rates across CMS payment localities in Arkansas.

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.

What does Medicare pay for 34471 in Arkansas?

Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$881.56

1 of 1 localities have a supported rate.

Payment area: Arkansas

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 34471 in your payment locality →

Vascular surgery

About 34471: Femoral vein thrombectomy through leg incision

Open thrombectomy removes clot from the femoral vein through a leg incision, using direct extraction or a catheter during surgical treatment.

This service is open removal of thrombus from the femoral vein through an incision in the leg. The surgeon exposes the vein and extracts the clot directly or uses a catheter through the operative exposure. Vascular surgeons typically perform it in a hospital operating room when treating significant deep venous thrombosis that requires operative clot removal rather than anticoagulation alone.

Report the code when the operative report supports femoral-vein thrombectomy through a leg incision; document the treated vein, approach, and clot-removal technique. It has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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 is not paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 34471

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU20.58 · 70%
  • Practice expense (office) RVU3.62 · 12%
  • Malpractice RVU5.25 · 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.

34471 compared with similar codes

Office rates for Arkansas, from the same CMS release.

34451

Venous thrombectomy

Popliteal vein

No office rate

Both involve venous thrombectomy through a leg incision. Select this code for the femoral vein and 34451 for the popliteal vein.

34401

Vein thrombectomy

Iliac vein, leg incision

No office rate

This code describes a leg-incision approach to the femoral vein; 34401 describes thrombectomy through an abdominal or retroperitoneal incision.

34421

Venous thrombectomy

Vena cava, abdominal approach

No office rate

This code describes a leg-incision approach to the femoral vein; 34421 describes thrombectomy through a thoracic incision.

Compare 34471 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 34471 in Arkansas.

PPRRVU2026_Oct_nonQPP.csv

4,191

Code
34471
Physician work
20.58
Practice expense
3.62
Malpractice
5.25

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 34471 in Arkansas
ComponentRVULocality factorAdjusted
Physician work20.58× 1.00020.5800
Practice expense3.62× 0.8593.1096
Malpractice5.25× 0.5152.7037
Total RVUs26.3933
Conversion factor× 33.4009

Facility rate, Arkansas$881.56

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work20.581
Practice expense3.620.859
Malpractice5.250.515

(20.58 × 1 + 3.62 × 0.859 + 5.25 × 0.515) × $33.4009 = $881.56

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.

34471 billing questions

How is this code distinguished from 34451?

The operative site determines the choice: this code is for femoral-vein thrombectomy through a leg incision, while 34451 is for popliteal-vein thrombectomy through a leg incision.

What documentation supports reporting this code?

The operative report should identify the femoral vein, the leg-incision approach, and removal of thrombus by direct extraction or catheter.

Is related postoperative care included?

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

Can an assistant surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided.

How is bilateral thrombectomy reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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.

RVUs for 34471PPRRVU2026_Oct_nonQPP.csv, line 4,191 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet