Billing code 34702: Aortic endograft repairMedicare rate & RVUs in Texas
Emergency endovascular repair of a ruptured infrarenal aortic or iliac lesion using an aorto-aortic tube endograft, including associated imaging and access work.
CMS doesn’t publish an office rate for 34702 in Texas.
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 34702 covers
This service treats a rupture involving the infrarenal aorta or iliac artery with an endovascular graft that runs from one aortic segment to another. Vascular surgeons typically perform it in a hospital operating room or endovascular suite as emergency treatment for a ruptured aneurysm or another ruptured lesion. The service includes associated radiological supervision and interpretation, endovascular access and closure, and treatment of related arterial injuries when needed.
Report this code when the operative documentation supports rupture and the aorto-aortic tube-graft configuration. The report should identify the ruptured lesion, treated anatomy, graft configuration, access and closure, and any associated arterial injury treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment and co-surgeons are permitted; team surgery 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.
Where 34702 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,604.73 |
| Beaumont | Unavailable | $1,592.36 |
| Brazoria | Unavailable | $1,569.55 |
| Dallas | Unavailable | $1,594.92 |
| Fort Worth | Unavailable | $1,597.27 |
| Galveston | Unavailable | $1,584.27 |
| Houston | Unavailable | $1,748.82 |
| Rest Of Texas | Unavailable | $1,590.60 |
How the 34702 rate is calculated
Each of 34702’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 · 34702
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 35.10Practice expense 4.64Malpractice 8.99
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 34702
34702 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34702
Aortic endograft 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 · 34702
Aortic endograft 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
34702 without 51 · national facility
$1,627.63
Aortic endograft repair
34702-51 · Second procedure: 50%
$813.82
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%).
34702 compared with similar codes
Compare codes
34702 vs 34701 vs 34704 vs 34706 vs 34709: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 34701Aortic endograft repair
- Both use an aorto-aortic tube endograft, but 34702 is for rupture; 34701 is for a lesion other than rupture.
- 34704Aorto-uni-iliac EVAR
- Both address rupture, but 34704 uses an aorto-uniliac configuration rather than the aorto-aortic tube configuration of 34702.
- 34706Aortic endograft repair
- Both address rupture, but 34706 uses an aorto-bi-iliac configuration rather than the aorto-aortic tube configuration of 34702.
- 34709Endograft extension
- 34709 represents an additional distal extension prosthesis, not the primary rupture repair represented by 34702.
34702 billing questions
How does 34702 differ from 34701?
34702 is for a ruptured lesion treated with an aorto-aortic tube endograft. Use 34701 for the corresponding repair when the lesion is not ruptured.
Which graft configuration distinguishes this code from 34704 or 34706?
34702 describes an aorto-aortic tube graft. Codes 34704 and 34706 represent rupture repairs using aorto-uniliac and aorto-bi-iliac configurations, respectively.
Are imaging, access, and closure separately reported?
The service includes associated radiological supervision and interpretation, endovascular access, and closure. Treatment of associated arterial injuries is also included when performed as part of the rupture repair.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code. Team surgery is not permitted.
What documentation supports reporting 34702?
Document the rupture, the treated aortic or iliac anatomy, and use of an aorto-aortic tube endograft. Include associated arterial injuries treated and the access and closure performed.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others 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 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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