No office rate
34709 describes placement of an endograft extension; 34712 describes delivery of fixation devices that secure the graft.
On this page
CMS RVU26D · Effective 2026-10-01
34712 Graft fixation Medicare reimbursement rates in Oklahoma
Reports catheter-based delivery of enhanced fixation devices during endovascular repair of an infrarenal aortic aneurysm or dissection. Compare 34712 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 34712 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
$560.86
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.
Endovascular surgery
About 34712: Transcatheter aortic graft fixation
Reports catheter-based delivery of enhanced fixation devices during endovascular repair of an infrarenal aortic aneurysm or dissection.
This service covers catheter-based placement of enhanced fixation devices to secure an aortic endograft during endovascular repair of an infrarenal abdominal aortic aneurysm or dissection. The devices reinforce graft attachment to the aortic wall. Vascular surgeons and other physicians performing endovascular aortic repair typically deliver them in an operating room or hybrid suite, using imaging guidance as needed.
Report 34712 for the fixation-device delivery performed at the time of the aortic repair, not for placement of an extension graft or for the repair itself. Documentation should identify the repair, the fixation-device delivery, and its clinical purpose. The CMS global period is 90 days and includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment and co-surgeon reporting are permitted; team surgery is not permitted.
CMS billing rules for 34712
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.70 · 66%
- Practice expense (office) RVU3.17 · 18%
- Malpractice RVU2.91 · 16%
975
Medicare services in 2024 · #2988 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.
34712 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
34710 covers delayed placement of an extension prosthesis. 34712 concerns fixation-device delivery during the endovascular aortic repair.
No office rate
34713 describes percutaneous femoral artery access and closure. It does not represent the aortic graft fixation-device delivery reported with 34712.
Compare 34712 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$560.86
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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 34712 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
4,214
- Code
- 34712
- Physician work
- 11.70
- Practice expense
- 3.17
- Malpractice
- 2.91
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.70 | × 1.000 | 11.7000 |
| Practice expense | 3.17 | × 0.893 | 2.8308 |
| Malpractice | 2.91 | × 0.777 | 2.2611 |
| Total RVUs | 16.7919 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$560.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.7 | 1 |
| Practice expense | 3.17 | 0.893 |
| Malpractice | 2.91 | 0.777 |
(11.7 × 1 + 3.17 × 0.893 + 2.91 × 0.777) × $33.4009 = $560.86
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.
34712 billing questions
How is 34712 different from an aortic extension graft code?
34712 describes delivery of enhanced fixation devices to secure the endograft. An extension-graft code describes placement of an additional graft segment to extend or modify the repair.
Can 34712 be reported without an endovascular aortic repair?
The service is defined for delivery of fixation devices at the time of endovascular repair of an infrarenal aortic aneurysm or dissection. Document the associated repair and the device delivery.
Is imaging guidance separately included in this service?
Radiological supervision and interpretation associated with the fixation-device delivery are included when performed.
What documentation supports reporting 34712?
The operative report should identify the infrarenal aortic repair, the enhanced fixation-device delivery, and why the devices were used to secure the endograft.
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.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeon reporting for this code. 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.
4,2113470F,,Ra disease activity low,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21234710,,Dlyd plmt xtn prosth 1st vsl,A,,14.63,3.35,NA,3.35,,3.65,21.63,21.63,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21334711,,Dlyd plmt xtn prosth ea addl,A,,5.85,0.60,NA,0.60,,1.46,7.91,7.91,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21434712,,Tcat dlvr enhncd fixj dev,A,,11.70,3.17,NA,3.17,,2.91,17.78,17.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21534713,,Perq access & clsr fem art,A,,2.44,0.26,NA,0.26,,0.60,3.30,3.30,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21634714,,Opn fem art expos cndt crtj,A,,5.12,0.94,NA,0.94,,1.28,7.34,7.34,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21734715,,Opn ax/subcla art expos,A,,5.85,0.74,NA,0.74,,1.48,8.07,8.07,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193