No office rate
Use 34111 for the axillary-brachial territory approached through an arm incision; 34101 describes the femoropopliteal or aortoiliac territory approached through a leg incision.
On this page
CMS RVU26D · Effective 2026-10-01
34101 Arterial thrombectomy Medicare reimbursement rates in Iowa
Reports open removal of an embolus or thrombus from a femoropopliteal or aortoiliac artery through a leg incision, with or without catheter use. Compare 34101 office and facility rates across CMS payment localities in Iowa.
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 34101 in Iowa?
Iowa 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
$480.75
1 of 1 localities have a supported rate.
Payment area: Iowa
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 34101: Lower-extremity arterial clot removal
Reports open removal of an embolus or thrombus from a femoropopliteal or aortoiliac artery through a leg incision, with or without catheter use.
A vascular surgeon uses a leg incision to expose the affected artery and remove an obstructing clot from the femoropopliteal or aortoiliac circulation. The surgeon may use a catheter as part of clot extraction. This operation is typically performed in a hospital for acute arterial occlusion, such as embolic or thrombotic obstruction causing compromised lower-extremity blood flow.
Select the code based on the treated arterial territory and the operative approach, not simply the diagnosis of limb ischemia. The operative report should identify the artery, incision, clot-removal work, and any catheter use. CMS assigns 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 other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 34101
- 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) RVU2.90 · 18%
- Malpractice RVU2.72 · 17%
1K
Medicare services in 2024 · #2956 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.
34101 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Use 34151 for the popliteal-tibio-peroneal territory. The more proximal femoropopliteal or aortoiliac territory is described by 34101.
No office rate
34001 addresses clot removal in the carotid, subclavian, or innominate arteries through a neck incision, rather than the lower-extremity territory covered by 34101.
Compare 34101 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
Iowa →
Office / nonfacility
Unavailable
Facility
$480.75
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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 34101 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
4,183
- Code
- 34101
- Physician work
- 10.66
- Practice expense
- 2.90
- Malpractice
- 2.72
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.66 | × 1.000 | 10.6600 |
| Practice expense | 2.90 | × 0.915 | 2.6535 |
| Malpractice | 2.72 | × 0.397 | 1.0798 |
| Total RVUs | 14.3933 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$480.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.66 | 1 |
| Practice expense | 2.9 | 0.915 |
| Malpractice | 2.72 | 0.397 |
(10.66 × 1 + 2.9 × 0.915 + 2.72 × 0.397) × $33.4009 = $480.75
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.
34101 billing questions
How does this differ from 34151?
34101 is for clot removal in the femoropopliteal or aortoiliac arterial territory. 34151 applies to the popliteal-tibio-peroneal territory.
Can a catheter be used during the procedure?
Yes. Catheter use may be part of the clot-removal procedure; the code selection turns on the treated arterial territory and approach.
What documentation supports reporting 34101?
The operative report should establish the treated femoropopliteal or aortoiliac artery, the leg incision, and the clot-removal work performed.
How is bilateral performance reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. 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.
4,18033999,,Unlisted px cardiac surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18134001,,Removal of artery clot,A,,17.43,3.11,NA,3.11,,4.46,25.00,25.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18234051,,Removal of artery clot,A,,16.57,8.37,NA,8.37,,3.96,28.90,28.90,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18334101,,Removal of artery clot,A,,10.66,2.90,NA,2.90,,2.72,16.28,16.28,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18434111,,Removal of arm artery clot,A,,10.66,2.93,NA,2.93,,2.70,16.29,16.29,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18534151,,Removal of artery clot,A,,25.86,5.40,NA,5.40,,6.56,37.82,37.82,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18634201,,Removal of artery clot,A,,18.99,3.93,NA,3.93,,4.84,27.76,27.76,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136