No office rate
Use 34709 for extension placement performed during the original endovascular repair. Use 34710 when the extension is placed in a later procedure after a prior repair.
On this page
CMS RVU26D · Effective 2026-10-01
34710 Graft extension Medicare reimbursement rates in Hawaii
Reports delayed placement of an endovascular graft extension after prior infrarenal aortic or iliac repair, for the first treated vessel. Compare 34710 office and facility rates across CMS payment localities in Hawaii.
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 34710 in Hawaii?
Hawaii 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
$686.47
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 34710: Delayed endovascular graft extension placement
Reports delayed placement of an endovascular graft extension after prior infrarenal aortic or iliac repair, for the first treated vessel.
This service covers a later procedure to place an extension prosthesis after endovascular repair of the infrarenal aorta or an iliac artery. The extension may address a seal problem or endoleak after the original repair. The vascular surgeon uses imaging to assess the target zone, measure the vessel, and guide placement; the code includes associated radiological supervision and interpretation. It is reported for the initial vessel treated in the delayed procedure, not for extension placement performed as part of the original repair.
The operative report should identify the prior endovascular repair, the reason for the delayed extension, the vessel treated, and the imaging and placement performed. Report 34711 for each additional vessel treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team surgery is not permitted. The code is not adjusted bilaterally, and modifier 50 is inappropriate.
CMS billing rules for 34710
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.63 · 68%
- Practice expense (office) RVU3.35 · 15%
- Malpractice RVU3.65 · 17%
1.2K
Medicare services in 2024 · #2840 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.
34710 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
34710 covers the initial vessel in the delayed procedure; 34711 is the add-on for each additional vessel treated.
No office rate
34701 reports initial endovascular repair of the infrarenal aorta without graft placement. It does not describe a later extension procedure.
No office rate
34705 reports initial infrarenal aortic repair with an aorto-bi-iliac graft; 34710 is for delayed extension placement following a prior repair.
Compare 34710 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$686.47
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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 34710 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,212
- Code
- 34710
- Physician work
- 14.63
- Practice expense
- 3.35
- Malpractice
- 3.65
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.000 | 14.6300 |
| Practice expense | 3.35 | × 1.137 | 3.8090 |
| Malpractice | 3.65 | × 0.579 | 2.1133 |
| Total RVUs | 20.5523 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$686.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1 |
| Practice expense | 3.35 | 1.137 |
| Malpractice | 3.65 | 0.579 |
(14.63 × 1 + 3.35 × 1.137 + 3.65 × 0.579) × $33.4009 = $686.47
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.
34710 billing questions
How does 34710 differ from 34709?
34710 is for delayed extension placement after a prior endovascular repair. 34709 describes extension placement performed in conjunction with the endovascular repair.
When is 34711 reported with 34710?
Report 34710 for the initial vessel and 34711 for each additional vessel treated during the delayed extension procedure.
Are imaging and radiological interpretation separately reported?
The code includes associated radiological supervision and interpretation, target-zone assessment, vessel measurement, and imaging guidance when performed.
Does modifier 50 apply when extensions are placed on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; use the initial-vessel and additional-vessel coding structure when applicable.
What documentation supports delayed placement?
Document the prior endovascular repair, the clinical reason for the later extension, the vessel treated, and the imaging assessment and graft placement performed.
What does the 90-day global period include?
It 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.
4,20934708,,Evasc rpr ilio-iliac rpt,A,,35.59,4.67,NA,4.67,,9.12,49.38,49.38,0,090,0.09,0.84,0.07,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21034709,,Plmt xtn prosth evasc rpr,A,,6.34,0.71,NA,0.71,,1.59,8.64,8.64,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2113470F,,Ra disease activity low,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
4,21234710,,Dlyd plmt xtn prosth 1st vsl,A,,14.63,3.35,NA,3.35,,3.65,21.63,21.63,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21334711,,Dlyd plmt xtn prosth ea addl,A,,5.85,0.60,NA,0.60,,1.46,7.91,7.91,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21434712,,Tcat dlvr enhncd fixj dev,A,,11.70,3.17,NA,3.17,,2.91,17.78,17.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21534713,,Perq access & clsr fem art,A,,2.44,0.26,NA,0.26,,0.60,3.30,3.30,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014