No office rate
Use 34101 for the specified neck-incision arterial thrombectomy territory, not for iliac artery clot removal through an abdominal incision.
On this page
CMS RVU26D · Effective 2026-10-01
34151 Arterial thrombectomy Medicare reimbursement rates in New Jersey
Iliac artery thrombectomy removes an obstructing clot through an abdominal incision, typically during urgent treatment of acute lower-extremity ischemia. Compare 34151 office and facility rates across CMS payment localities in New Jersey.
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 34151 in New Jersey?
New Jersey 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
$1335.62–$1361.40
2 of 2 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.
Vascular surgery
About 34151: Iliac artery thrombectomy via abdominal incision
Iliac artery thrombectomy removes an obstructing clot through an abdominal incision, typically during urgent treatment of acute lower-extremity ischemia.
A vascular surgeon removes clot from an iliac artery through an abdominal incision, either directly or using a catheter passed through the operative exposure. The procedure is used when an iliac arterial obstruction threatens blood flow to the leg, such as with acute limb ischemia from an embolus or thrombosis. It is performed in an operating room, commonly in a hospital setting. The abdominal approach and iliac artery site distinguish this service from thrombectomy performed through a neck, arm, or leg incision.
Report the code when the operative record supports removal of clot from an iliac artery through the abdominal approach; document the treated vessel, approach, and thrombectomy performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 34151
- 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 RVU25.86 · 68%
- Practice expense (office) RVU5.40 · 14%
- Malpractice RVU6.56 · 17%
250
Medicare services in 2024 · #4141 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.
34151 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Use 34111 for the specified upper-extremity arteries approached through an arm incision; this code is for the iliac artery approached abdominally.
No office rate
Use 34201 when the treated vessel is femoral or popliteal and the approach is through a leg incision, rather than an iliac artery approached abdominally.
Compare 34151 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1361.40
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1335.62
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34151 billing questions
How is this code distinguished from thrombectomy codes for other arteries?
This code describes iliac artery clot removal through an abdominal incision. Choose a different code when the treated artery and operative incision are in another region, such as the neck, arm, or leg.
What documentation supports reporting this code?
The operative report should identify the iliac artery, the abdominal approach, and the clot-removal work performed, including whether removal was direct or catheter-assisted.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral performance reported under the CMS facts?
When the procedure is performed bilaterally, modifier 50 applies, and CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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.
4,18234051,,Removal of artery clot,A,,16.57,8.37,NA,8.37,,3.96,28.90,28.90,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18334101,,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