No office rate
34812 describes open femoral artery exposure through a groin approach. Choose 34820 for iliac artery exposure through an abdominal or retroperitoneal incision.
On this page
CMS RVU26D · Effective 2026-10-01
34820 Iliac exposure Medicare reimbursement rates in New Mexico
Reports open iliac artery exposure through an abdominal or retroperitoneal incision when needed to deliver an endovascular prosthesis during a qualifying repair. Compare 34820 office and facility rates across CMS payment localities in New Mexico.
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 34820 in New Mexico?
New Mexico 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
$314.47
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 34820: Open Iliac Access for Endograft Delivery
Reports open iliac artery exposure through an abdominal or retroperitoneal incision when needed to deliver an endovascular prosthesis during a qualifying repair.
A vascular surgeon or other qualified surgeon uses an abdominal or retroperitoneal incision to expose an iliac artery so an endovascular prosthesis can be delivered through that access. This is an open access procedure, distinct from gaining access through a groin incision to expose the femoral artery. Code 34820 describes exposure without the conduit creation identified by code 34833.
Report 34820 only as an add-on with a qualifying primary procedure, such as an endovascular aortic repair; it is not a stand-alone service. The operative report should identify the iliac artery exposed, the open approach, and its role in delivering the prosthesis. CMS places the add-on service within the primary procedure’s global period. For bilateral exposure, modifier 50 is paid at 150% under the stated CMS rule.
CMS billing rules for 34820
- 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 RVU6.83 · 75%
- Practice expense (office) RVU0.54 · 6%
- Malpractice RVU1.74 · 19%
56
Medicare services in 2024 · #5281 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.
34820 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both concern open iliac exposure for endovascular prosthesis delivery. Code 34833 is used when conduit creation is performed; 34820 describes exposure without that feature.
Compare 34820 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$314.47
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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 34820 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,228
- Code
- 34820
- Physician work
- 6.83
- Practice expense
- 0.54
- Malpractice
- 1.74
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.83 | × 1.000 | 6.8300 |
| Practice expense | 0.54 | × 0.917 | 0.4952 |
| Malpractice | 1.74 | × 1.201 | 2.0897 |
| Total RVUs | 9.4149 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$314.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.83 | 1 |
| Practice expense | 0.54 | 0.917 |
| Malpractice | 1.74 | 1.201 |
(6.83 × 1 + 0.54 × 0.917 + 1.74 × 1.201) × $33.4009 = $314.47
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.
34820 billing questions
When should 34820 be chosen instead of 34812?
Use 34820 for open iliac artery exposure through an abdominal or retroperitoneal incision. Code 34812 describes open femoral artery exposure through a groin approach.
How does 34820 differ from 34833?
Code 34820 describes open iliac exposure for prosthesis delivery without conduit creation. Code 34833 is the related option when a conduit is created.
Can 34820 be billed by itself?
No. CMS identifies it as an add-on code, so it must be reported with a qualifying primary procedure.
How is bilateral iliac exposure reported?
When the procedure is bilateral, report modifier 50. CMS pays the bilateral service at 150%.
What should the operative note support?
Document the side and artery exposed, the abdominal or retroperitoneal approach, and that the exposure provided access for endovascular prosthesis delivery.
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.
4,22534808,,Endovas iliac a device addon,A,,4.02,0.39,NA,0.39,,1.03,5.44,5.44,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22634812,,Opn fem art expos,A,,4.03,0.47,NA,0.47,,1.04,5.54,5.54,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22734813,,Femoral endovas graft add-on,A,,4.67,0.46,NA,0.46,,1.21,6.34,6.34,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22834820,,Opn iliac art expos,A,,6.83,0.54,NA,0.54,,1.74,9.11,9.11,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22934830,,Open aortic tube prosth repr,A,,34.35,4.80,NA,4.80,,8.79,47.94,47.94,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23034831,,Open aortoiliac prosth repr,A,,37.03,6.07,NA,6.07,,9.42,52.52,52.52,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23134832,,Open aortofemor prosth repr,A,,37.03,5.01,NA,5.01,,9.47,51.51,51.51,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210