Billing code 34501: Venous valve repairMedicare rate & RVUs in Utah
Reports operative repair of a femoral vein valve, typically to address deep venous reflux when the surgeon repairs the existing valve.
CMS doesn’t publish an office rate for 34501 in Utah.
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 34501 covers
A vascular surgeon repairs a valve in the femoral vein to improve its ability to limit backward blood flow. The operation is used for selected patients with deep venous valvular insufficiency and may be performed in a hospital operating room. The operative report should identify the femoral vein valve treated and describe the repair performed; this is distinct from moving a valve from another vein or creating a crossover graft.
Report the code for the femoral vein valve repair itself. Documentation should establish the site, indication, and operative work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery 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.
34501 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $798.47 |
How the 34501 rate is calculated
Each of 34501’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 · 34501
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.43Practice expense 3.95Malpractice 4.19
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 34501
34501 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34501
Venous valve 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) | 1 | Permitted with supporting documentation. |
| 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 · 34501
Venous valve 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
34501 without 50 · national facility
$820.66
Venous valve repair
34501-50 · Bilateral: 150%
$1,230.99
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).
34501 compared with similar codes
Compare codes
34501 vs 34510 vs 34520 vs 34502: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 34510Vein valve transposition
- Choose 34501 when the surgeon repairs the femoral vein valve itself. Choose 34510 when the operative method is valve transposition.
- 34520Venous bypass
- 34520 describes a crossover vein graft, not direct repair of a femoral vein valve.
- 34502Cava reconstruction
- 34502 is for vena cava reconstruction. It does not describe repair of a femoral vein valve.
34501 billing questions
How is this different from 34510?
34501 is for repairing the femoral vein valve in place. 34510 describes transposing a vein valve, a different operative approach.
When would 34520 be considered instead?
34520 describes a crossover vein graft rather than repair of the femoral vein valve. Use the code that matches the reconstruction documented in the operative report.
Is related postoperative care separately reported during the global period?
The 90-day global period includes related postoperative care. It also includes the day-before preoperative visit.
How does CMS handle bilateral reporting?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support repair on both sides.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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 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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