No office rate
34714 requires open femoral exposure and conduit creation; 34713 describes percutaneous femoral access and closure.
On this page
CMS RVU26D · Effective 2026-10-01
34714 Femoral access Medicare reimbursement rates in Missouri
Reports open femoral artery exposure and conduit creation to deliver an endovascular prosthesis during a qualifying vascular repair. Compare 34714 office and facility rates across CMS payment localities in Missouri.
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 34714 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$239.72–$243.74
3 of 3 localities have a supported rate.
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.
Where 34714 pays more and less in Missouri
Endovascular surgery
About 34714: Open femoral access conduit creation
Reports open femoral artery exposure and conduit creation to deliver an endovascular prosthesis during a qualifying vascular repair.
The surgeon exposes the femoral artery through a groin incision and creates a conduit to accommodate delivery of an endovascular prosthesis. Vascular surgeons typically perform this access work in an operating room or hybrid suite when the planned device delivery requires surgically created arterial access. The service is distinct from access obtained percutaneously and from open exposure that does not include conduit creation.
Report 34714 as an add-on with the applicable primary endovascular repair, not as a stand-alone service. The operative note should identify the side, open exposure, conduit creation, and the primary repair performed. CMS treats payment as part of the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% of the unilateral payment.
CMS billing rules for 34714
- 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 RVU5.12 · 70%
- Practice expense (office) RVU0.94 · 13%
- Malpractice RVU1.28 · 17%
665
Medicare services in 2024 · #3310 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.
34714 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
34714 is open femoral access with a conduit. Code 34715 involves open axillary or subclavian exposure without a conduit.
No office rate
Both involve open exposure and conduit creation, but 34714 is for femoral access and 34716 is for axillary or subclavian access.
Compare 34714 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$242.26
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$243.74
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$239.72
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34714 billing questions
When is 34714 chosen instead of 34713?
Use 34714 when the surgeon opens the groin, exposes the femoral artery, and creates a conduit for device delivery. Code 34713 describes percutaneous femoral access and closure.
Can 34714 be reported by itself?
No. It is an add-on code and must be reported with an applicable primary endovascular repair.
What operative documentation supports 34714?
Document the open femoral exposure, conduit creation, side, and the primary endovascular repair associated with the access work.
How is bilateral 34714 paid?
When the bilateral procedure is reported with modifier 50, CMS pays 150% of the unilateral payment.
Is payment for 34714 separate from the primary procedure's global period?
No. CMS identifies 34714 as an add-on paid within the primary procedure's global period.
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.
4,21334711,,Dlyd plmt xtn prosth ea addl,A,,5.85,0.60,NA,0.60,,1.46,7.91,7.91,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21434712,,Tcat dlvr enhncd fixj dev,A,,11.70,3.17,NA,3.17,,2.91,17.78,17.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21534713,,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