Billing code 34708: Iliac endograft repairMedicare rate & RVUs in Texas
Endovascularly repairs a ruptured iliac artery using an iliac-to-iliac endograft, with reporting distinguished from nonruptured and aortoiliac repairs.
CMS doesn’t publish an office rate for 34708 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 34708 covers
This code represents endovascular repair of a ruptured iliac artery using an iliac-to-iliac tube endograft. A vascular surgeon typically performs the procedure in a hospital operating room or endovascular suite, guiding the graft through arterial access to exclude the rupture from circulation. The code is for an iliac repair configuration, rather than repair using an aortic endograft. The operative report should establish the rupture, the treated iliac artery, and the endograft configuration.
Report the rupture-specific code rather than its nonruptured sibling when the repair addresses a rupture. Required imaging and radiological supervision and interpretation for the repair are included. CMS 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment may be allowed; team-surgery payment 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.
Where 34708 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 | $1,626.03 |
| Beaumont | Unavailable | $1,613.67 |
| Brazoria | Unavailable | $1,590.43 |
| Dallas | Unavailable | $1,616.16 |
| Fort Worth | Unavailable | $1,618.56 |
| Galveston | Unavailable | $1,605.36 |
| Houston | Unavailable | $1,772.29 |
| Rest Of Texas | Unavailable | $1,611.83 |
How the 34708 rate is calculated
Each of 34708’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 · 34708
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 35.59Practice expense 4.67Malpractice 9.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 34708
34708 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34708
Iliac 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 34708
Iliac 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 50 · payment effect
With and without the modifier
34708 without 50 · national facility
$1,649.34
Iliac endograft repair
34708-50 · Bilateral: 150%
$2,474.01
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).
34708 compared with similar codes
Compare codes
34708 vs 34707 vs 34706 vs 34704: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 34707Iliac endograft repair
- This is the nonruptured iliac-to-iliac endograft repair code. Choose 34708 when the repair addresses a rupture.
- 34706Aortic endograft repair
- This code covers ruptured aorto-bi-iliac endograft repair. Use 34708 when the repair is an iliac-to-iliac configuration rather than an aortic graft extending to both iliac arteries.
- 34704Aorto-uni-iliac EVAR
- This code covers ruptured aorto-uniliac endograft repair. The distinction is the aortic graft configuration, not simply which iliac side is treated.
34708 billing questions
How does 34708 differ from 34707?
Both describe iliac-to-iliac endograft repair. Use 34708 for repair with rupture and 34707 for the corresponding nonruptured repair.
Are the repair's imaging services separately reported?
Required radiological supervision and interpretation for the endovascular repair are included in 34708. The operative documentation should support the rupture and the iliac-to-iliac graft configuration.
What global period applies?
The code has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can 34708 be reported bilaterally?
CMS lists bilateral reporting with modifier 50, paid at 150%. The record should support repair on both sides.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery and co-surgeon payment may be allowed, but team-surgery payment 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
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