Billing code 34832: Aortic aneurysm repairMedicare rate & RVUs in Oklahoma
Reports open repair of an infrarenal aortic aneurysm or dissection using a prosthetic graft with femoral outflow, including associated iliac aneurysm repair when applicable.
CMS doesn’t publish an office rate for 34832 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 34832 covers
A vascular surgeon uses an open approach to repair an infrarenal abdominal aortic aneurysm or dissection with a prosthetic graft extending to the femoral artery or arteries. The procedure may also address an associated iliac artery aneurysm. It is performed in an operating room, typically in a hospital, and is distinct from an aorto-aortic tube graft or a graft ending at the iliac arteries.
Select this code when the operative report supports open repair and an aortofemoral graft configuration. Document the pathology treated, open approach, graft configuration, and anastomosis sites. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team-surgery payment is not.
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.
34832 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $1,632.04 |
How the 34832 rate is calculated
Each of 34832’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 · 34832
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 37.03Practice expense 5.01Malpractice 9.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 34832
34832 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34832
Aortic aneurysm repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 34832
Aortic aneurysm repair
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
34832 without 51 · national facility
$1,720.48
Aortic aneurysm repair
34832-51 · Second procedure: 50%
$860.24
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
34832 compared with similar codes
Compare codes
34832 vs 34830 vs 34831 vs 35646: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 34830Open aortic repair
- This code is for an aortofemoral prosthesis configuration; 34830 describes open repair using a tube prosthesis.
- 34831Aortic graft repair
- Use 34831 for an aortoiliac prosthesis configuration. The distinguishing factor is the graft's distal outflow, not simply the diagnosis.
- 35646Aortic bypass
- This code addresses open aneurysm or dissection repair with an aortofemoral prosthesis. Code 35646 describes an aortofemoral bypass for a different indication, such as occlusive disease.
34832 billing questions
When should this be selected instead of 34830 or 34831?
Choose 34832 when the open repair uses an aortofemoral prosthetic configuration. Codes 34830 and 34831 describe tube and aortoiliac configurations, respectively.
Does this code describe an aortofemoral bypass for occlusive disease?
No. This code describes open repair of an infrarenal aortic aneurysm or dissection. A bypass for occlusive disease is a different service, such as 35646 when its requirements are met.
Can modifier 50 be used for a graft to both femoral arteries?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy already accounts for the service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team-surgery payment is not permitted for this code.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced when performed in the same session.
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
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