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CMS RVU26D · Effective 2026-10-01

34401 Vein thrombectomy Medicare reimbursement rates in Oklahoma

Open or catheter-assisted removal of clot from an iliac vein through a leg incision, typically performed for extensive venous thrombosis. Compare 34401 office and facility rates across CMS payment localities in Oklahoma.

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 34401 in Oklahoma?

Oklahoma 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

$1155.24

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 34401 in your payment locality →

Vascular surgery

About 34401: Iliac vein thrombectomy through leg incision

Open or catheter-assisted removal of clot from an iliac vein through a leg incision, typically performed for extensive venous thrombosis.

This operation removes thrombus from an iliac vein through a leg incision, using direct extraction, a catheter, or both. Vascular surgeons typically perform it in a hospital operating room for substantial venous clot burden, such as iliofemoral deep vein thrombosis. The operative report should identify the treated vein, the leg incision used, and the method of clot removal.

Report 34401 when the documented target and approach match iliac-vein thrombectomy through a leg incision; use a different code when the operation involves another vein or an abdominal approach. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 34401

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 · 71%
  • Practice expense (office) RVU4.03 · 11%
  • Malpractice RVU6.60 · 18%

87

Medicare services in 2024 · #4982 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.

34401 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

34421

Venous thrombectomy

Vena cava, abdominal approach

No office rate

Choose 34401 for iliac-vein thrombectomy through a leg incision. 34421 describes vena cava and iliac-vein thrombectomy through an abdominal or retroperitoneal incision.

34451

Venous thrombectomy

Popliteal vein

No office rate

34451 concerns thrombectomy of the femoral vein through a leg incision; 34401 is for the iliac vein.

37187

Venous thrombectomy

Initial treatment

$1,451.06

37187 is for percutaneous mechanical thrombectomy of a vein. 34401 describes thrombectomy through a leg incision.

Compare 34401 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

Office and facility base rates · shared scale starting at $0

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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 34401 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

4,188

Code
34401
Physician work
25.86
Practice expense
4.03
Malpractice
6.60

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 34401 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work25.86× 1.00025.8600
Practice expense4.03× 0.8933.5988
Malpractice6.60× 0.7775.1282
Total RVUs34.5870
Conversion factor× 33.4009

Facility rate, Oklahoma$1155.24

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work25.861
Practice expense4.030.893
Malpractice6.60.777

(25.86 × 1 + 4.03 × 0.893 + 6.6 × 0.777) × $33.4009 = $1155.24

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.

34401 billing questions

How is 34401 distinguished from 34421?

34401 describes iliac-vein thrombectomy through a leg incision. 34421 is the related code for thrombectomy involving the vena cava and iliac vein through an abdominal or retroperitoneal incision.

Can a catheter be used for the clot removal?

Yes. The service may involve direct removal, catheter-assisted removal, or both, provided the operative approach and target match this code.

Is related postoperative care separately reported?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How is bilateral 34401 reported?

For bilateral performance, report modifier 50; 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.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others are paid at 50%.

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.

RVUs for 34401PPRRVU2026_Oct_nonQPP.csv, line 4,188 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet