Billing code 34714: Femoral accessMedicare rate & RVUs in Utah
Reports open femoral artery exposure and conduit creation to deliver an endovascular prosthesis during a qualifying vascular repair.
CMS doesn’t publish an office rate for 34714 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 34714 covers
The surgeon exposes the femoral artery through a groin incision and creates a conduit to accommodate delivery of an endovascular prosthesis. Vascular surgeons typically perform this access work in an operating room or hybrid suite when the planned device delivery requires surgically created arterial access. The service is distinct from access obtained percutaneously and from open exposure that does not include conduit creation.
Report 34714 as an add-on with the applicable primary endovascular repair, not as a stand-alone service. The operative note should identify the side, open exposure, conduit creation, and the primary repair performed. CMS treats payment as part of the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% of the unilateral payment.
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.
34714 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $238.92 |
How the 34714 rate is calculated
Each of 34714’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 · 34714
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.12Practice expense 0.94Malpractice 1.28
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 34714
The CMS indicators that decide how 34714 is paid alongside other services.
CMS payment indicators · 34714
Femoral access
| 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) | 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
34714 without 50 · national facility
$245.16
Femoral access
34714-50 · Bilateral: 150%
$367.74
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).
34714 compared with similar codes
Compare codes
34714 vs 34713 vs 34715 vs 34716: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 34713Femoral access
- 34714 requires open femoral exposure and conduit creation; 34713 describes percutaneous femoral access and closure.
- 34715Arterial exposure
- 34714 is open femoral access with a conduit. Code 34715 involves open axillary or subclavian exposure without a conduit.
- 34716Arterial access
- Both involve open exposure and conduit creation, but 34714 is for femoral access and 34716 is for axillary or subclavian access.
34714 billing questions
When is 34714 chosen instead of 34713?
Use 34714 when the surgeon opens the groin, exposes the femoral artery, and creates a conduit for device delivery. Code 34713 describes percutaneous femoral access and closure.
Can 34714 be reported by itself?
No. It is an add-on code and must be reported with an applicable primary endovascular repair.
What operative documentation supports 34714?
Document the open femoral exposure, conduit creation, side, and the primary endovascular repair associated with the access work.
How is bilateral 34714 paid?
When the bilateral procedure is reported with modifier 50, CMS pays 150% of the unilateral payment.
Is payment for 34714 separate from the primary procedure's global period?
No. CMS identifies 34714 as an add-on paid within the primary procedure's global period.
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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