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CMS RVU26D · Effective 2026-10-01

34111 Arterial thrombectomy Medicare reimbursement rates in Florida

Open removal of clot from an axillary or brachial artery restores upper-extremity blood flow when acute arterial obstruction requires surgical treatment. Compare 34111 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 34111 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

$585.16–$686.00

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $100.84 per service.

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 34111 in your payment locality →

Where 34111 pays more and less in Florida

Vascular surgery

About 34111: Axillary-brachial artery thrombectomy

Open removal of clot from an axillary or brachial artery restores upper-extremity blood flow when acute arterial obstruction requires surgical treatment.

This service removes thrombus or embolus from an axillary or brachial artery through an arm incision, using direct extraction or a catheter technique. The procedure includes primary closure of the artery. Vascular surgeons and other qualified surgeons typically perform it in a hospital operating room for acute upper-extremity ischemia, such as a threatened arm or hand caused by arterial obstruction.

Report the code for clot removal from the axillary-brachial artery, rather than for a smaller forearm artery or a neck artery. The operative report should identify the treated vessel, the clot-removal method, and the closure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 34111

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 RVU10.66 · 65%
  • Practice expense (office) RVU2.93 · 18%
  • Malpractice RVU2.70 · 17%

620

Medicare services in 2024 · #3361 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.

34111 compared with similar codes

Office rates for Florida, from the same CMS release.

34101

Arterial thrombectomy

Femoropopliteal or aortoiliac

No office rate

Use 34101 for clot removal from a carotid, subclavian, or innominate artery. This code is for the axillary-brachial artery.

34151

Arterial thrombectomy

Iliac artery, abdominal approach

No office rate

Use 34151 when the clot is in a radial or ulnar artery. Use 34111 for an axillary-brachial artery.

35206

Vessel repair

Upper extremity, direct repair

No office rate

Use 35206 for direct repair of an upper-extremity blood vessel when the service addresses a vessel defect rather than removing an arterial clot.

Compare 34111 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

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

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34111 billing questions

How does this differ from 34151?

34111 is for clot removal in the axillary-brachial artery. Code 34151 is for a radial or ulnar artery in the forearm.

Does the code include closing the artery?

Yes. The service includes primary closure after clot removal; routine closure is not a separate service under this code.

What documentation supports reporting 34111?

The operative report should identify the axillary or brachial artery treated, the obstructing clot, the extraction approach, and the arterial closure.

How are bilateral procedures reported?

CMS identifies this as a bilateral procedure; report modifier 50 when appropriate. The CMS payment rule is 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. 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.

RVUs for 34111PPRRVU2026_Oct_nonQPP.csv, line 4,184 (RVU26D)