No office rate
34812 is for open femoral artery exposure through the groin; 34834 is for open brachial artery exposure through an arm incision.
On this page
CMS RVU26D · Effective 2026-10-01
34834 Arterial exposure Medicare reimbursement rates in Arkansas
Reports open brachial artery exposure through an arm incision to provide access for delivery of an endovascular prosthesis during a qualifying primary procedure. Compare 34834 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 34834 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
$104.82
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.
Vascular surgery
About 34834: Open brachial artery exposure for endograft access
Reports open brachial artery exposure through an arm incision to provide access for delivery of an endovascular prosthesis during a qualifying primary procedure.
A vascular surgeon exposes the brachial artery through an incision in the arm to establish open access for delivering an endovascular prosthesis. This may be needed during aortic endovascular repair when the procedure requires upper-extremity access, such as for device positioning or catheter work. The service is typically performed in an operating room as part of the endovascular repair, rather than as a standalone access procedure.
Report 34834 only with a qualifying primary procedure; it is an add-on and is paid within that procedure’s global period. Documentation should identify the arm and side, describe the open arterial exposure, and connect the access to delivery of the prosthesis. If exposure is bilateral and modifier 50 is reported, CMS pays the code at 150%.
CMS billing rules for 34834
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU2.58 · 74%
- Practice expense (office) RVU0.26 · 7%
- Malpractice RVU0.65 · 19%
422
Medicare services in 2024 · #3687 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.
34834 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
34820 describes open iliac artery exposure, generally through a retroperitoneal approach; 34834 identifies brachial access in the arm.
No office rate
34833 involves open iliac exposure with creation of a conduit. Choose 34834 when the open access site is the brachial artery.
Compare 34834 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
$104.82
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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 34834 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,233
- Code
- 34834
- Physician work
- 2.58
- Practice expense
- 0.26
- Malpractice
- 0.65
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.58 | × 1.000 | 2.5800 |
| Practice expense | 0.26 | × 0.859 | 0.2233 |
| Malpractice | 0.65 | × 0.515 | 0.3348 |
| Total RVUs | 3.1381 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$104.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.58 | 1 |
| Practice expense | 0.26 | 0.859 |
| Malpractice | 0.65 | 0.515 |
(2.58 × 1 + 0.26 × 0.859 + 0.65 × 0.515) × $33.4009 = $104.82
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.
34834 billing questions
When is 34834 chosen instead of 34812?
Use 34834 for open brachial artery exposure in the arm. Code 34812 describes open femoral artery exposure, a different access site.
Can 34834 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure for endovascular prosthesis delivery.
How should bilateral brachial exposure be reported?
When the procedure is bilateral, report modifier 50. CMS pays the bilateral procedure at 150%.
What documentation supports reporting 34834?
Document the brachial artery side, the open exposure through an arm incision, and its role in delivering the endovascular prosthesis during the primary procedure.
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.
4,23034831,,Open aortoiliac prosth repr,A,,37.03,6.07,NA,6.07,,9.42,52.52,52.52,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23134832,,Open aortofemor prosth repr,A,,37.03,5.01,NA,5.01,,9.47,51.51,51.51,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23234833,,Opn ilac art expos cndt crtj,A,,7.96,0.63,NA,0.63,,2.04,10.63,10.63,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23334834,,Opn brach art expos,A,,2.58,0.26,NA,0.26,,0.65,3.49,3.49,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23434839,,Plnning pt spec fenest graft,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23534841,,Endovasc visc aorta 1 graft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23634842,,Endovasc visc aorta 2 graft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,2,0,9,,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