No office rate
Both codes describe arterial clot removal in CMS short descriptors. Match the code to the artery and procedure specified by the complete CPT descriptors and operative record.
On this page
CMS RVU26D · Effective 2026-10-01
34051 Arterial thrombectomy Medicare reimbursement rates in Florida
Reports surgical removal of a clot from an artery; select this code when the operative service and treated artery meet its full CPT descriptor. Compare 34051 office and facility rates across CMS payment localities in Florida.
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 34051 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1019.52–$1178.99
3 of 3 localities have a supported rate.
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.
Where 34051 pays more and less in Florida
Vascular surgery
About 34051: Arterial clot removal procedure
Reports surgical removal of a clot from an artery; select this code when the operative service and treated artery meet its full CPT descriptor.
This service removes a clot obstructing arterial blood flow. Vascular surgeons typically perform it in an operating room when an arterial obstruction requires surgical treatment, such as an acute ischemic event. The operative report should identify the artery treated, the clot-removal work performed, and the extent of the service. Use the full CPT descriptor to confirm that the treated artery and procedure match this code.
Report the code for the documented procedure, not simply for a diagnosis of arterial thrombosis or embolism. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting, 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 34051
- 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 RVU16.57 · 57%
- Practice expense (office) RVU8.37 · 29%
- Malpractice RVU3.96 · 14%
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.
34051 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
34101 applies to specified upper-extremity arteries. Use this code only when its full CPT descriptor matches the treated artery and documented procedure.
No office rate
34201 applies to specified lower-extremity or aortoiliac arteries. Choose between the codes by matching the operative site and work to the full descriptors.
Compare 34051 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1075.79
Miami →
Office / nonfacility
Unavailable
Facility
$1178.99
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1019.52
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34051 billing questions
How do I choose this code over 34001?
Check the complete CPT descriptors and match the code to the artery and procedure documented in the operative report. The CMS short descriptors alone do not distinguish the site.
What documentation supports reporting this service?
The operative report should identify the artery, the clot-removal procedure performed, and its extent. Include details that support the selected CPT descriptor and any separately reported procedures.
Does the code include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is this code paid when other 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.
Can modifier 50 be used for bilateral treatment?
The CMS bilateral rule specifies modifier 50 for bilateral reporting, with payment at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
4,17933997,,Rmvl perq right heart vad,A,,2.93,0.58,NA,0.58,,0.67,4.18,4.18,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18033999,,Unlisted px cardiac surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18134001,,Removal of artery clot,A,,17.43,3.11,NA,3.11,,4.46,25.00,25.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18234051,,Removal of artery clot,A,,16.57,8.37,NA,8.37,,3.96,28.90,28.90,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18334101,,Removal of artery clot,A,,10.66,2.90,NA,2.90,,2.72,16.28,16.28,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18434111,,Removal of arm artery clot,A,,10.66,2.93,NA,2.93,,2.70,16.29,16.29,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18534151,,Removal of artery clot,A,,25.86,5.40,NA,5.40,,6.56,37.82,37.82,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00