No office rate
Choose 34520 for a crossover vein graft between femoral veins. Choose 34530 when the documented procedure is a direct venous connection in a lower extremity.
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CMS RVU26D · Effective 2026-10-01
34530 Vein anastomosis Medicare reimbursement rates in Florida
Reports open surgical joining of veins in a lower extremity to establish or restore venous flow, rather than valve repair or a crossover graft. Compare 34530 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 34530 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
$930.04–$1093.76
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 34530 pays more and less in Florida
Vascular surgery
About 34530: Lower-extremity venous anastomosis
Reports open surgical joining of veins in a lower extremity to establish or restore venous flow, rather than valve repair or a crossover graft.
This code describes an open surgical connection between veins in a leg. A vascular surgeon may perform the anastomosis during operative reconstruction when the documented procedure is a direct vein-to-vein connection; the operative report should identify the veins joined and the work performed. It is distinct from an operation that repairs or repositions a venous valve, or uses a graft to create a crossover route.
Report the code when the operative documentation supports a lower-extremity venous anastomosis, not merely because venous connections are part of another coded procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 34530
- 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 RVU17.48 · 68%
- Practice expense (office) RVU3.83 · 15%
- Malpractice RVU4.46 · 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.
34530 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
34501 is for repair of a femoral venous valve. It does not describe joining leg veins.
No office rate
34510 describes transposition of a venous valve. Use 34530 for a direct lower-extremity venous anastomosis instead.
Compare 34530 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
$982.77
Miami →
Office / nonfacility
Unavailable
Facility
$1093.76
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$930.04
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34530 billing questions
How is this different from a femoral vein crossover graft?
34530 describes a direct lower-extremity vein-to-vein connection. 34520 describes a crossover vein graft between femoral veins, so select based on the operation documented rather than treating the terms as interchangeable.
Should I report 34530 for an anastomosis made during another operation?
The operative report must support a separately reportable lower-extremity venous anastomosis. Do not select 34530 solely because an anastomosis is mentioned as part of another procedure.
Can modifier 50 be used for bilateral work?
Yes. CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
How does Medicare treat another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,1973451F,,Dyspnea scrnd mod-high 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
4,19834520,,Cross-over vein graft,A,,18.70,3.57,NA,3.57,,4.77,27.04,27.04,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1993452F,,Dyspnea not screened,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
4,20034530,,Leg vein fusion,A,,17.48,3.83,NA,3.83,,4.46,25.77,25.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2013455F,,Tb scr pfrmd&interpd 6 mo,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
4,20234701,,Evasc rpr a-ao ndgft,A,,23.12,4.51,NA,4.51,,5.78,33.41,33.41,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20334702,,Evasc rpr a-ao ndgft rpt,A,,35.10,4.64,NA,4.64,,8.99,48.73,48.73,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00