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CMS RVU26D · Effective 2026-10-01

34702 Aortic endograft repair Medicare reimbursement rates in Michigan

Emergency endovascular repair of a ruptured infrarenal aortic or iliac lesion using an aorto-aortic tube endograft, including associated imaging and access work. Compare 34702 office and facility rates across CMS payment localities in Michigan.

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 34702 in Michigan?

Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1652.88–$1828.19

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $175.31 per service.

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.

Find 34702 in your payment locality →

Vascular surgery

About 34702: Ruptured aortic tube endograft repair

Emergency endovascular repair of a ruptured infrarenal aortic or iliac lesion using an aorto-aortic tube endograft, including associated imaging and access work.

This service treats a rupture involving the infrarenal aorta or iliac artery with an endovascular graft that runs from one aortic segment to another. Vascular surgeons typically perform it in a hospital operating room or endovascular suite as emergency treatment for a ruptured aneurysm or another ruptured lesion. The service includes associated radiological supervision and interpretation, endovascular access and closure, and treatment of related arterial injuries when needed.

Report this code when the operative documentation supports rupture and the aorto-aortic tube-graft configuration. The report should identify the ruptured lesion, treated anatomy, graft configuration, access and closure, and any associated arterial injury treatment. 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%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.

CMS billing rules for 34702

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 RVU35.10 · 72%
  • Practice expense (office) RVU4.64 · 10%
  • Malpractice RVU8.99 · 18%

103

Medicare services in 2024 · #4858 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.

34702 compared with similar codes

Office rates for Michigan, from the same CMS release.

34701

Aortic endograft repair

Aorto-aortic tube graft

No office rate

Both use an aorto-aortic tube endograft, but 34702 is for rupture; 34701 is for a lesion other than rupture.

34704

Aorto-uni-iliac EVAR

Ruptured aneurysm

No office rate

Both address rupture, but 34704 uses an aorto-uniliac configuration rather than the aorto-aortic tube configuration of 34702.

34706

Aortic endograft repair

Rupture, bilateral iliac limbs

No office rate

Both address rupture, but 34706 uses an aorto-bi-iliac configuration rather than the aorto-aortic tube configuration of 34702.

34709

Endograft extension

During initial repair

No office rate

34709 represents an additional distal extension prosthesis, not the primary rupture repair represented by 34702.

Compare 34702 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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34702 billing questions

How does 34702 differ from 34701?

34702 is for a ruptured lesion treated with an aorto-aortic tube endograft. Use 34701 for the corresponding repair when the lesion is not ruptured.

Which graft configuration distinguishes this code from 34704 or 34706?

34702 describes an aorto-aortic tube graft. Codes 34704 and 34706 represent rupture repairs using aorto-uniliac and aorto-bi-iliac configurations, respectively.

Are imaging, access, and closure separately reported?

The service includes associated radiological supervision and interpretation, endovascular access, and closure. Treatment of associated arterial injuries is also included when performed as part of the rupture repair.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery payment and co-surgeons for this code. Team surgery is not permitted.

What documentation supports reporting 34702?

Document the rupture, the treated aortic or iliac anatomy, and use of an aorto-aortic tube endograft. Include associated arterial injuries treated and the access and closure performed.

How does the 90-day global period affect postoperative billing?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%.

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.

RVUs for 34702PPRRVU2026_Oct_nonQPP.csv, line 4,203 (RVU26D)