No office rate
Use 34201 for the femoropopliteal artery. Use 34203 when the treated territory is the popliteal-tibio-peroneal artery.
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CMS RVU26D · Effective 2026-10-01
34201 Arterial embolectomy Medicare reimbursement rates in Nebraska
Open removal of thrombus or embolus from the femoropopliteal artery through a leg incision, typically for acute lower-extremity arterial occlusion. Compare 34201 office and facility rates across CMS payment localities in Nebraska.
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 34201 in Nebraska?
Nebraska 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
$816.55
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 34201: Femoropopliteal artery clot removal
Open removal of thrombus or embolus from the femoropopliteal artery through a leg incision, typically for acute lower-extremity arterial occlusion.
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.
CMS billing rules for 34201
- 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 RVU18.99 · 68%
- Practice expense (office) RVU3.93 · 14%
- Malpractice RVU4.84 · 17%
3.2K
Medicare services in 2024 · #2130 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.
34201 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$1,498.98
This code describes open clot removal through a leg incision. Code 37184 is for endovascular mechanical arterial thrombectomy.
No office rate
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.
Compare 34201 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$816.55
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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 34201 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,186
- Code
- 34201
- Physician work
- 18.99
- Practice expense
- 3.93
- Malpractice
- 4.84
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.99 | × 1.000 | 18.9900 |
| Practice expense | 3.93 | × 0.923 | 3.6274 |
| Malpractice | 4.84 | × 0.378 | 1.8295 |
| Total RVUs | 24.4469 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$816.55
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.99 | 1 |
| Practice expense | 3.93 | 0.923 |
| Malpractice | 4.84 | 0.378 |
(18.99 × 1 + 3.93 × 0.923 + 4.84 × 0.378) × $33.4009 = $816.55
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.
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 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.
4,18334101,,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
4,18734203,,Removal of leg artery clot,A,,17.41,3.97,NA,3.97,,4.44,25.82,25.82,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18834401,,Removal of vein clot,A,,25.86,4.03,NA,4.03,,6.60,36.49,36.49,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18934421,,Removal of vein clot,A,,13.04,2.66,NA,2.66,,3.32,19.02,19.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068