No office rate
Both involve open iliac exposure, but 34833 is the access service distinguished by conduit creation when performed for endovascular delivery. 34820 describes iliac exposure without that distinction.
On this page
CMS RVU26D · Effective 2026-10-01
34833 Iliac access Medicare reimbursement rates in New Mexico
Reports open iliac artery access with conduit creation, when needed, to deliver an endovascular prosthesis during a qualifying primary vascular procedure. Compare 34833 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 34833 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
$367.00
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 34833: Open iliac access with conduit creation
Reports open iliac artery access with conduit creation, when needed, to deliver an endovascular prosthesis during a qualifying primary vascular procedure.
A vascular surgeon exposes an iliac artery through an abdominal incision to provide access for an endovascular prosthesis. When the artery cannot safely accommodate the delivery system directly, the surgeon may create a conduit to connect the vessel with the access route. This work is typically performed in the operating room during endovascular aortic or iliac repair, rather than as a separate access operation.
Report 34833 only with an eligible primary procedure; it is an add-on and is paid within that procedure’s global period. The operative report should identify the side, the iliac exposure, the purpose of access, and whether a conduit was created. Do not select this code for femoral or brachial exposure, or for iliac exposure without the conduit-related work that distinguishes it from 34820. For bilateral service, modifier 50 is paid at 150%.
CMS billing rules for 34833
- 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 RVU7.96 · 75%
- Practice expense (office) RVU0.63 · 6%
- Malpractice RVU2.04 · 19%
30
Medicare services in 2024 · #5670 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.
34833 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Use 34812 for open femoral access through a groin incision. 34833 is for iliac access through an abdominal incision.
No office rate
34834 describes open brachial access. Choose 34833 when the open access site is the iliac artery.
Compare 34833 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
$367.00
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 34833 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,232
- Code
- 34833
- Physician work
- 7.96
- Practice expense
- 0.63
- Malpractice
- 2.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.96 | × 1.000 | 7.9600 |
| Practice expense | 0.63 | × 0.917 | 0.5777 |
| Malpractice | 2.04 | × 1.201 | 2.4500 |
| Total RVUs | 10.9878 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$367.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.96 | 1 |
| Practice expense | 0.63 | 0.917 |
| Malpractice | 2.04 | 1.201 |
(7.96 × 1 + 0.63 × 0.917 + 2.04 × 1.201) × $33.4009 = $367.00
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.
34833 billing questions
How does 34833 differ from 34820?
34833 describes abdominal iliac access for endovascular device delivery with conduit creation when performed. Use 34820 for iliac exposure that does not include the conduit-related service described by 34833.
Can 34833 be reported by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
Is conduit creation separately reported?
Conduit creation, when performed as part of this iliac access service, is included in 34833. Document the conduit and its role in device delivery in the operative report.
How is bilateral iliac access reported?
CMS pays the bilateral procedure with modifier 50 at 150%. Document the work on both sides.
What documentation supports 34833?
The operative report should identify the abdominal approach, iliac artery accessed, reason open access was needed for endovascular delivery, and whether a conduit was created.
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.
4,22934830,,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
4,23234833,,Opn ilac art expos cndt crtj,A,,7.96,0.63,NA,0.63,,2.04,10.63,10.63,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23334834,,Opn brach art expos,A,,2.58,0.26,NA,0.26,,0.65,3.49,3.49,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23434839,,Plnning pt spec fenest graft,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23534841,,Endovasc visc aorta 1 graft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,2,0,9,,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