Billing code 34707: Iliac endograft repairMedicare rate & RVUs in Illinois

Report this service for endovascular exclusion of a nonruptured iliac artery aneurysm with an iliac-to-iliac endograft, rather than an aortic endograft.

CMS RVU26DEffective Oct 1, 20264 payment localities486 Medicare services in 2024

CMS doesn’t publish an office rate for 34707 in Illinois.

—Office (non-facility)
$1,140.38–$1,291.46Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 34707 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Illinois
  2. What 34707 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 34707 covers

A vascular surgeon typically performs this repair in a hospital operating room or endovascular suite, using arterial access, guidewires, and imaging to position a tube-shaped graft across a nonruptured iliac artery aneurysm. The graft routes blood through the treated segment and excludes the aneurysm from circulation. This code describes an iliac-to-iliac repair, not a repair that also reconstructs the aorta. Catheter work and imaging integral to the endovascular repair are included.

Select the code based on the treated anatomy and whether the aneurysm is ruptured; documentation should identify the iliac segments treated, the endograft deployed, and the nonruptured status. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery and co-surgeons may be paid; team surgery is not permitted.

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.

Where 34707 pays more and less in Illinois

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

34707 office and facility rates by payment locality
Payment localityOfficeFacility
ChicagoUnavailable$1,291.46
East St. LouisUnavailable$1,223.18
Rest Of IllinoisUnavailable$1,140.38
Suburban ChicagoUnavailable$1,199.77

How the 34707 rate is calculated

Each of 34707’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 34707

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 21.72Practice expense 4.31Malpractice 5.43

31.4600 adjusted RVUs×$33.4009 conversion factor=$1,050.79

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 34707

34707 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34707

Iliac endograft repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 34707

Iliac endograft repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

34707 without 50 · national facility

$1,050.79

Iliac endograft repair

34707-50 · Bilateral: 150%

$1,576.19

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

34707 compared with similar codes

Compare codes

34707 vs 34708 vs 34705 vs 34717: national Medicare rates

Swap in your local Medicare rate.

  • 34707
    Iliac endograft repair · 21.72 wRVU
    —
  • 34708
    Iliac endograft repair · 35.59 wRVU
    —
  • 34705
    Aortic endograft repair · 28.84 wRVU
    —
  • 34717
    Iliac branch repair · 8.78 wRVU
    —

How to choose

34708Iliac endograft repair
The repair configuration is similar, but 34708 is for a ruptured iliac aneurysm; 34707 is for a nonruptured aneurysm.
34705Aortic endograft repair
34705 describes endograft repair involving the aorta and both iliac arteries. Choose 34707 for an iliac-to-iliac repair that does not reconstruct the aorta.
34717Iliac branch repair
34717 is for iliac repair using an iliac branch endoprosthesis. This code describes iliac-to-iliac endograft repair without that branch-device approach.

34707 billing questions

How does this differ from 34708?

This code is for nonruptured iliac-to-iliac endograft repair. Use 34708 for the corresponding repair when the iliac aneurysm is ruptured.

When is 34705 a better fit?

Use 34705 when the endograft repair reconstructs the aorta and both iliac arteries. This code is for an iliac-to-iliac repair without that aorto-bi-iliac configuration.

Are catheterization and imaging separately reported?

Catheter work and imaging integral to the endovascular repair are included. Do not separately report those integral services as though they were independent procedures.

Can modifier 50 be used for bilateral repair?

Yes. CMS treats this as a bilateral procedure when reported with modifier 50 and pays it at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care. The repair also follows the standard multiple-procedure reduction when performed with other procedures in the same session.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 34707PPRRVU2026_Oct_nonQPP.csv, line 4,208 (RVU26D)

Open CMS sourceHow we calculate rates

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