No office rate
Choose 34716 for chest-incision axillary or subclavian exposure with conduit creation; 34715 describes exposure through a neck incision without that conduit feature.
On this page
CMS RVU26D · Effective 2026-10-01
34716 Arterial access Medicare reimbursement rates in Indiana
Reports open axillary or subclavian artery exposure through a chest incision with conduit creation to deliver an endovascular prosthesis. Compare 34716 office and facility rates across CMS payment localities in Indiana.
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 34716 in Indiana?
Indiana 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
$305.26
1 of 1 localities have a supported rate.
Payment area: Indiana
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 34716: Open axillary-subclavian access with conduit
Reports open axillary or subclavian artery exposure through a chest incision with conduit creation to deliver an endovascular prosthesis.
A vascular surgeon exposes the axillary or subclavian artery through a chest incision and creates a conduit to provide access for an endovascular delivery system. This approach is used when the device cannot be delivered through the usual femoral or iliac route, often during endovascular aortic repair in a hybrid operating room. The conduit and open exposure distinguish this service from access obtained through a neck incision or percutaneous femoral access.
Report 34716 as an add-on with the primary endovascular procedure; it is paid within that procedure’s global period. The operative report should identify the chest incision, artery exposed, conduit created, and its use for prosthesis delivery, along with the primary repair performed. For a bilateral procedure, modifier 50 is paid at 150%.
CMS billing rules for 34716
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU7.01 · 69%
- Practice expense (office) RVU1.39 · 14%
- Malpractice RVU1.73 · 17%
2.5K
Medicare services in 2024 · #2292 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.
34716 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
34714 covers open femoral artery access with conduit, while 34716 covers axillary or subclavian access through a chest incision.
No office rate
34713 describes percutaneous femoral access and closure; 34716 requires open upper-chest exposure and conduit creation.
Compare 34716 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
Indiana →
Office / nonfacility
Unavailable
Facility
$305.26
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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 34716 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,218
- Code
- 34716
- Physician work
- 7.01
- Practice expense
- 1.39
- Malpractice
- 1.73
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.000 | 7.0100 |
| Practice expense | 1.39 | × 0.927 | 1.2885 |
| Malpractice | 1.73 | × 0.486 | 0.8408 |
| Total RVUs | 9.1393 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$305.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.01 | 1 |
| Practice expense | 1.39 | 0.927 |
| Malpractice | 1.73 | 0.486 |
(7.01 × 1 + 1.39 × 0.927 + 1.73 × 0.486) × $33.4009 = $305.26
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.
34716 billing questions
How does 34716 differ from 34715?
34716 describes axillary or subclavian exposure through a chest incision with conduit creation. 34715 describes open exposure through a neck incision without the conduit feature.
Can 34716 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure; payment is included within that procedure’s global period.
What operative details support reporting 34716?
Document the chest incision, the axillary or subclavian artery exposed, conduit creation, and use of the conduit to deliver the endovascular prosthesis.
How is bilateral 34716 reported?
When the procedure is bilateral, report modifier 50. CMS pays the bilateral procedure at 150%.
Can 34716 be used for percutaneous femoral access?
No. It describes open axillary or subclavian access through a chest incision with conduit creation, not percutaneous femoral access.
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.
4,21534713,,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
4,21634714,,Opn fem art expos cndt crtj,A,,5.12,0.94,NA,0.94,,1.28,7.34,7.34,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21734715,,Opn ax/subcla art expos,A,,5.85,0.74,NA,0.74,,1.48,8.07,8.07,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21834716,,Opn ax/subcla art expos cndt,A,,7.01,1.39,NA,1.39,,1.73,10.13,10.13,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21934717,,Evasc rpr a-iliac ndgft,A,,8.78,0.89,NA,0.89,,2.21,11.88,11.88,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22034718,,Evasc rpr n/a a-iliac ndgft,A,,23.40,4.02,NA,4.02,,5.89,33.31,33.31,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2213471F,,Ra disease activity mod,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915