Billing code 34001: Arterial thrombectomyMedicare rate & RVUs in Ohio

Open removal of clot from a carotid, subclavian, or axillary artery, performed directly or with catheter assistance without a bypass graft.

CMS RVU26DEffective Oct 1, 20261 payment locality45 Medicare services in 2024

CMS doesn’t publish an office rate for 34001 in Ohio.

—Office (non-facility)
$827.18Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 34001 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 34001 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 34001 covers

A vascular surgeon removes thrombus or embolus from a carotid, subclavian, or axillary artery through operative exposure, using direct extraction and, when needed, catheter assistance. The procedure addresses an obstructed artery, such as acute limb or cerebral ischemia caused by an arterial clot. It is typically performed in a hospital operating room; the code describes clot removal without a bypass graft.

Report the code when the operative documentation supports clot removal from one of these named arteries and identifies the approach and any catheter use. If the operation includes a bypass graft, compare the corresponding code for thrombectomy with bypass. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral procedures, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

34001 in Ohio

34001 office and facility rates by payment locality
Payment localityOfficeFacility
OhioUnavailable$827.18

How the 34001 rate is calculated

Each of 34001’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 34001

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 17.43Practice expense 3.11Malpractice 4.46

25.0000 adjusted RVUs×$33.4009 conversion factor=$835.02

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 34001

34001 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 34001

Arterial thrombectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 34001

Arterial thrombectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

34001 without 50 · national facility

$835.02

Arterial thrombectomy

34001-50 · Bilateral: 150%

$1,252.53

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

34001 compared with similar codes

Compare codes

34001 vs 34051 vs 34101 vs 34201: national Medicare rates

Swap in your local Medicare rate.

  • 34001
    Arterial thrombectomy · 17.43 wRVU
    —
  • 34051
    Arterial thrombectomy · 16.57 wRVU
    —
  • 34101
    Arterial thrombectomy · 10.66 wRVU
    —
  • 34201
    Arterial embolectomy · 18.99 wRVU
    —

How to choose

34051Arterial thrombectomy
Use 34001 for clot removal without bypass grafting. Compare 34051 when the thrombectomy is performed with a bypass graft.
34101Arterial thrombectomy
This code addresses a different arterial territory. Select the thrombectomy code that matches the vessel documented in the operative report.
34201Arterial embolectomy
34201 is for femoral or popliteal arterial thrombectomy; 34001 is for carotid, subclavian, or axillary artery clot removal.

34001 billing questions

Which arteries support reporting 34001?

This code applies to clot removal from the carotid, subclavian, or axillary artery. Choose a different thrombectomy code when the treated artery is in another territory.

How does 34001 differ from 34051?

34001 describes clot removal without a bypass graft. Compare 34051 when the thrombectomy is performed with a bypass graft.

Can catheter assistance be part of the service?

Yes. The code covers direct clot extraction and catheter-assisted removal; the operative report should establish the artery treated and the method used.

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?

Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.

May 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 34001PPRRVU2026_Oct_nonQPP.csv, line 4,181 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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