Billing code 34201: Arterial embolectomyMedicare rate & RVUs in Kansas

Open removal of thrombus or embolus from the femoropopliteal artery through a leg incision, typically for acute lower-extremity arterial occlusion.

CMS RVU26DEffective Oct 1, 20261 payment locality3.2K Medicare services in 2024

CMS doesn’t publish an office rate for 34201 in Kansas.

—Office (non-facility)
$834.42Hospital 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 34201 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Kansas
  2. What 34201 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 34201 covers

This code describes open embolectomy or thrombectomy of the femoropopliteal artery through a leg incision, with or without use of a catheter to retrieve the clot. Vascular and other surgeons perform it in an operating room when an arterial obstruction threatens lower-extremity perfusion, such as acute limb ischemia from an embolus or thrombus. The named artery territory, rather than clot size or the number of catheter passes, distinguishes this service from neighboring arterial embolectomy codes.

Report the service when the operative note supports open clot removal in the femoropopliteal artery; document the treated site, approach, and removal performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one 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 may be paid; co-surgeons are paid only with supporting documentation, and 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.

34201 in Kansas

34201 office and facility rates by payment locality
Payment localityOfficeFacility
KansasUnavailable$834.42

How the 34201 rate is calculated

Each of 34201’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 · 34201

RVUs × geographic indexes × conversion factor

Work18.99

18.99 RVUs× 1.000 GPCI

Practice expense3.93

3.93 RVUs× 1.000 GPCI

Malpractice4.84

4.84 RVUs× 1.000 GPCI

Adjusted RVUs

27.7600

Conversion factor

$33.4009

Medicare rate

$927.21

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 34201

34201 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34201

Arterial embolectomy

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)1Permitted with supporting documentation.
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 · 34201

Arterial embolectomy

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

34201 without 50 · national facility

$927.21

Arterial embolectomy

34201-50 · Bilateral: 150%

$1,390.82

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

34201 compared with similar codes

Compare codes · National

4 codes, side by side

  • 34201

    Arterial embolectomy18.99 wRVU

    Not priced

  • 34203

    Arterial thrombectomy17.41 wRVU

    Not priced

  • 37184

    Arterial thrombectomy8.2 wRVU

    $1,630.97

  • 34101

    Arterial thrombectomy10.66 wRVU

    Not priced

How to choose

34203Arterial thrombectomy
Use 34201 for the femoropopliteal artery. Use 34203 when the treated territory is the popliteal-tibio-peroneal artery.
37184Arterial thrombectomy
This code describes open clot removal through a leg incision. Code 37184 is for endovascular mechanical arterial thrombectomy.
34101Arterial thrombectomy
Both describe open arterial clot removal, but 34101 applies to the axillary-brachial artery in the arm; this code applies to the femoropopliteal artery in the leg.

34201 billing questions

How do I distinguish this code from 34203?

Choose by the arterial territory documented in the operative report. This code is for the femoropopliteal artery; 34203 is for the popliteal-tibio-peroneal artery.

Does catheter use change the code selection?

No. This code allows catheter use as part of open embolectomy or thrombectomy through a leg incision; the femoropopliteal territory and open approach guide selection.

Can I report catheter passes as separate units?

The code represents the open clot-removal service, not each catheter pass. Document the artery treated and the operative work performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral reporting handled?

For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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 34201PPRRVU2026_Oct_nonQPP.csv, line 4,186 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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