No office rate
34710 is for delayed placement of an extension in the first vessel. Use 34709 when the extension is placed during the primary endovascular repair.
On this page
CMS RVU26D · Effective 2026-10-01
34709 Endograft extension Medicare reimbursement rates in Arkansas
Reports placement of an additional endograft extension during infrarenal aortic or iliac endovascular repair to extend the graft's proximal or distal coverage. Compare 34709 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 34709 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
$259.48
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.
Endovascular repair
About 34709: Intraoperative endograft extension placement
Reports placement of an additional endograft extension during infrarenal aortic or iliac endovascular repair to extend the graft's proximal or distal coverage.
During endovascular repair of an infrarenal abdominal aortic or iliac aneurysm or other lesion, the physician may place an additional graft segment to extend the endograft's proximal or distal reach. The extension can help achieve the intended landing zone or seal. Vascular surgeons and other physicians performing endovascular aortic or iliac repair typically use this service in an operating room or endovascular suite. The code includes the associated radiological supervision and interpretation for the extension placement.
Report 34709 with an applicable primary endovascular repair, such as a tube, uniliac, bifurcated, or ilio-iliac graft procedure. The code is per vessel treated, so documentation should identify the vessel receiving an extension and the additional graft placement. CMS classifies it as an add-on code: it is billed only with a primary procedure, and payment falls within that procedure's global period. Do not report it as a stand-alone service; distinguish an extension placed during the repair from a delayed extension addressed by codes 34710 and 34711.
CMS billing rules for 34709
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU6.34 · 73%
- Practice expense (office) RVU0.71 · 8%
- Malpractice RVU1.59 · 18%
2.2K
Medicare services in 2024 · #2381 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.
34709 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
34711 covers each additional vessel in delayed extension placement. It is not the during-repair extension code.
No office rate
34712 describes delivery of an enhanced fixation device. Code 34709 reports placement of an endograft extension to extend graft coverage.
Compare 34709 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$259.48
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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 34709 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,210
- Code
- 34709
- Physician work
- 6.34
- Practice expense
- 0.71
- Malpractice
- 1.59
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.34 | × 1.000 | 6.3400 |
| Practice expense | 0.71 | × 0.859 | 0.6099 |
| Malpractice | 1.59 | × 0.515 | 0.8189 |
| Total RVUs | 7.7687 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$259.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.34 | 1 |
| Practice expense | 0.71 | 0.859 |
| Malpractice | 1.59 | 0.515 |
(6.34 × 1 + 0.71 × 0.859 + 1.59 × 0.515) × $33.4009 = $259.48
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.
34709 billing questions
When is 34709 used instead of 34710?
Use 34709 for an extension placed during the endovascular repair. Code 34710 describes delayed placement of an extension in the first vessel.
Can 34709 be billed by itself?
No. It is an add-on code and must be reported with an applicable primary endovascular repair.
What should the operative note support?
Document the primary repair, the additional extension placement, and the vessel treated. The record should make clear that the extension was placed during the repair.
How are multiple treated vessels reported?
The code is defined per vessel treated. Documentation should support each vessel for which an extension was placed.
Can the imaging guidance for the extension be billed separately?
The associated radiological supervision and interpretation for the extension placement are included in 34709.
How does CMS treat payment for this code?
CMS identifies 34709 as an add-on code billed only with a primary procedure; its payment is within that procedure's global period.
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.
4,20734706,,Evasc rpr a-biiliac rpt,A,,43.88,6.44,NA,6.44,,11.08,61.40,61.40,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20834707,,Evasc rpr ilio-iliac ndgft,A,,21.72,4.31,NA,4.31,,5.43,31.46,31.46,0,090,0.09,0.84,0.07,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20934708,,Evasc rpr ilio-iliac rpt,A,,35.59,4.67,NA,4.67,,9.12,49.38,49.38,0,090,0.09,0.84,0.07,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21034709,,Plmt xtn prosth evasc rpr,A,,6.34,0.71,NA,0.71,,1.59,8.64,8.64,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2113470F,,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
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541