Billing code 34717: Iliac branch repairMedicare rate & RVUs in Texas
Reports unilateral placement of an iliac branch endoprosthesis to preserve internal iliac artery flow during an associated endovascular aortoiliac or iliac repair.
CMS doesn’t publish an office rate for 34717 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 34717 covers
This add-on describes placement of an iliac branch endoprosthesis on one side during endovascular repair involving an aortoiliac or iliac endograft. The branch device extends treatment into the internal iliac artery while maintaining a pathway to the external iliac artery. Vascular surgeons typically perform the work in an operating room or endovascular suite to treat iliac aneurysmal disease while preserving pelvic circulation. The code includes the associated catheterization, vascular access, imaging guidance, and radiological supervision and interpretation specified for the branch-device work.
Report 34717 with the qualifying primary endovascular repair, such as an aorto-uni-iliac, aorto-bi-iliac, or iliac-iliac endograft procedure. The operative report should identify the treated side, the branch endoprosthesis, its extension into the internal and external iliac arteries, and the associated primary repair. CMS classifies this as an add-on code: it is billed only with a primary procedure, and payment falls within that procedure’s global period.
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 34717 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 | $390.70 |
| Beaumont | Unavailable | $388.89 |
| Brazoria | Unavailable | $382.64 |
| Dallas | Unavailable | $388.84 |
| Fort Worth | Unavailable | $389.50 |
| Galveston | Unavailable | $386.24 |
| Houston | Unavailable | $426.70 |
| Rest Of Texas | Unavailable | $388.13 |
How the 34717 rate is calculated
Each of 34717’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 · 34717
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.78Practice expense 0.89Malpractice 2.21
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 34717
The CMS indicators that decide how 34717 is paid alongside other services.
CMS payment indicators · 34717
Iliac branch repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
34717 without 80 · national facility
$396.80
Iliac branch repair
34717-80 · Assistant: 16%
$63.49
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
34717 compared with similar codes
Compare codes
34717 vs 34718 vs 34707 vs 34705: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 34718Iliac branch repair
- Both describe unilateral iliac branch endoprosthesis repair. Choose 34717 when the work accompanies a primary aortoiliac or iliac endograft repair; 34718 applies when it is not associated with an aortoiliac endograft.
- 34707Iliac endograft repair
- 34707 describes an iliac-iliac endograft repair. Add 34717 only when a unilateral iliac branch endoprosthesis is also placed as part of the qualifying primary repair.
- 34705Aortic endograft repair
- 34705 reports the primary aorto-bi-iliac endograft repair. Use 34717 as an add-on when that repair also includes unilateral iliac branch endoprosthesis placement.
34717 billing questions
When should 34717 be chosen instead of 34718?
Use 34717 for unilateral iliac branch endoprosthesis placement associated with a primary aortoiliac or iliac endograft repair. Code 34718 is for the branch-device repair when it is not associated with placement of an aortoiliac endograft.
Can 34717 be billed by itself?
No. It is an add-on code and must be reported with the qualifying primary endovascular repair.
Are access, catheterization, and imaging reported separately?
The work associated with the iliac branch device—including its specified access, catheterization, imaging guidance, and radiological supervision and interpretation—is included in 34717.
What should the operative report document?
Document the side treated, the branch endoprosthesis placement and its internal and external iliac extensions, and the associated primary endograft repair.
How does the global-period payment work?
CMS treats 34717 as an add-on paid within the primary procedure’s global period; it is not billed as a standalone service.
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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