No office rate
Choose 34501 when the surgeon repairs the femoral vein valve itself. Choose 34510 when the operative method is valve transposition.
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CMS RVU26D · Effective 2026-10-01
34501 Venous valve repair Medicare reimbursement rates in Delaware
Reports operative repair of a femoral vein valve, typically to address deep venous reflux when the surgeon repairs the existing valve. Compare 34501 office and facility rates across CMS payment localities in Delaware.
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 34501 in Delaware?
Delaware 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
$807.69
1 of 1 localities have a supported rate.
Payment area: Delaware
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 34501: Femoral vein valve repair
Reports operative repair of a femoral vein valve, typically to address deep venous reflux when the surgeon repairs the existing valve.
A vascular surgeon repairs a valve in the femoral vein to improve its ability to limit backward blood flow. The operation is used for selected patients with deep venous valvular insufficiency and may be performed in a hospital operating room. The operative report should identify the femoral vein valve treated and describe the repair performed; this is distinct from moving a valve from another vein or creating a crossover graft.
Report the code for the femoral vein valve repair itself. Documentation should establish the site, indication, and operative work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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 multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays 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 34501
- 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 RVU16.43 · 67%
- Practice expense (office) RVU3.95 · 16%
- Malpractice RVU4.19 · 17%
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.
34501 compared with similar codes
Office rates for Delaware, from the same CMS release.
Compare 34501 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
Delaware →
Office / nonfacility
Unavailable
Facility
$807.69
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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 34501 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,193
- Code
- 34501
- Physician work
- 16.43
- Practice expense
- 3.95
- Malpractice
- 4.19
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.43 | × 1.005 | 16.5121 |
| Practice expense | 3.95 | × 0.988 | 3.9026 |
| Malpractice | 4.19 | × 0.899 | 3.7668 |
| Total RVUs | 24.1816 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$807.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.43 | 1.005 |
| Practice expense | 3.95 | 0.988 |
| Malpractice | 4.19 | 0.899 |
(16.43 × 1.005 + 3.95 × 0.988 + 4.19 × 0.899) × $33.4009 = $807.69
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.
34501 billing questions
How is this different from 34510?
34501 is for repairing the femoral vein valve in place. 34510 describes transposing a vein valve, a different operative approach.
When would 34520 be considered instead?
34520 describes a crossover vein graft rather than repair of the femoral vein valve. Use the code that matches the reconstruction documented in the operative report.
Is related postoperative care separately reported during the global period?
The 90-day global period includes related postoperative care. It also includes the day-before preoperative visit.
How does CMS handle bilateral reporting?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support repair on both sides.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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.
4,19034451,,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
4,19434502,,Reconstruct vena cava,A,,27.37,8.62,NA,8.62,,6.42,42.41,42.41,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1953450F,,Dyspnea scrnd no-mild dysp,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
4,19634510,,Transposition of vein valve,A,,19.41,3.53,NA,3.53,,4.95,27.89,27.89,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503