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CMS RVU26D · Effective 2026-10-01

34502 Cava reconstruction Medicare reimbursement rates in Minnesota

Reports operative reconstruction of the vena cava, such as repair after tumor removal, major injury, or a defect that interrupts normal venous flow. Compare 34502 office and facility rates across CMS payment localities in Minnesota.

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 34502 in Minnesota?

Minnesota 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

$1273.92

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find 34502 in your payment locality →

Vascular surgery

About 34502: Vena cava reconstruction

Reports operative reconstruction of the vena cava, such as repair after tumor removal, major injury, or a defect that interrupts normal venous flow.

Code 34502 represents operative rebuilding of the vena cava after a segment is damaged, narrowed, or removed. The surgeon may restore continuity with direct repair, a patch, or an interposition graft, depending on the defect. Typical cases include reconstruction after removal of renal cancer extending into the inferior vena cava or repair after major abdominal trauma. Vascular surgeons and urologic or surgical oncology surgeons perform the procedure in an operating room, often during abdominal or retroperitoneal surgery.

Report the code when the operation includes reconstruction of the vena cava, rather than removal of a clot alone. Document the affected cava segment, defect, reconstruction method and material, and related procedures such as tumor removal. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for the single vena cava. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 34502

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU27.37 · 65%
  • Practice expense (office) RVU8.62 · 20%
  • Malpractice RVU6.42 · 15%

188

Medicare services in 2024 · #4372 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.

34502 compared with similar codes

Office rates for Minnesota, from the same CMS release.

35221

Vessel repair

Direct repair, intra-abdominal

No office rate

This code describes direct repair of an intra-abdominal blood vessel generally. Choose 34502 when the reconstructed vessel is the vena cava.

35251

Vessel repair

Intra-abdominal vein graft

No office rate

This code describes intra-abdominal vessel repair using a vein graft. Code 34502 specifically identifies vena cava reconstruction.

35281

Vessel repair

Nonvenous graft, intra-abdominal

No office rate

This code describes intra-abdominal vessel repair using a non-vein graft. Code 34502 is specific to reconstruction of the vena cava.

Compare 34502 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

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

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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 34502 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

4,194

Code
34502
Physician work
27.37
Practice expense
8.62
Malpractice
6.42

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 34502 in Minnesota
ComponentRVULocality factorAdjusted
Physician work27.37× 1.00027.3700
Practice expense8.62× 1.0298.8700
Malpractice6.42× 0.2961.9003
Total RVUs38.1403
Conversion factor× 33.4009

Facility rate, Minnesota$1273.92

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work27.371
Practice expense8.621.029
Malpractice6.420.296

(27.37 × 1 + 8.62 × 1.029 + 6.42 × 0.296) × $33.4009 = $1273.92

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.

34502 billing questions

When is 34502 appropriate instead of a general vessel-repair code?

Use 34502 when the operation reconstructs the vena cava. General intra-abdominal vessel-repair codes describe other vessels or circumstances and should not replace this vena-cava-specific code.

Does removal of a vena cava clot alone support 34502?

No. The operative report should show that the vena cava was reconstructed, not merely that a thrombus was removed.

Can 34502 be reported with tumor removal?

It may be performed during an operation removing a tumor involving the vena cava. Document the reconstruction as a distinct operative service and describe its relationship to the tumor procedure.

Should modifier 50 be used for vena cava reconstruction?

No. Modifier 50 is inappropriate for the single vena cava.

What postoperative care is included in the global period?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made for 34502. Co-surgeon and team-surgery payment are 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 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 34502PPRRVU2026_Oct_nonQPP.csv, line 4,194 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet