No office rate
Both describe open axillary or subclavian access for prosthesis delivery. Choose 34715 when no conduit is created; choose 34716 when the surgeon creates one.
On this page
CMS RVU26D · Effective 2026-10-01
34715 Arterial exposure Medicare reimbursement rates in Utah
Report this add-on for open axillary or subclavian artery access used to deliver an endovascular prosthesis when no conduit is created. Compare 34715 office and facility rates across CMS payment localities in Utah.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 34715 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$263.02
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 34715: Open axillary or subclavian access without conduit
Report this add-on for open axillary or subclavian artery access used to deliver an endovascular prosthesis when no conduit is created.
This code represents surgical exposure of one axillary or subclavian artery through an incision so an endovascular prosthesis delivery system can be introduced. It applies when the access is obtained directly from the artery without creating a conduit. Vascular surgeons commonly perform the exposure in a hybrid operating room during endovascular aortic repair when the planned device cannot be delivered through the usual access route.
Report the access work with an eligible primary endovascular procedure, not as a standalone service. The operative report should identify the exposed artery and side, describe the open access used for device delivery, and establish that no conduit was created. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral work, modifier 50 is paid at 150%.
CMS billing rules for 34715
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU5.85 · 72%
- Practice expense (office) RVU0.74 · 9%
- Malpractice RVU1.48 · 18%
252
Medicare services in 2024 · #4134 by national volume
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.
34715 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
34714 describes open femoral artery exposure for device delivery. 34715 is for open axillary or subclavian exposure.
No office rate
34713 covers percutaneous femoral access and closure. 34715 describes open exposure of an axillary or subclavian artery.
No office rate
33880 reports the primary thoracic endovascular repair; 34715 reports qualifying open upper-extremity access as an add-on.
Compare 34715 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Utah →
Office / nonfacility
Unavailable
Facility
$263.02
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 34715 in Utah.
PPRRVU2026_Oct_nonQPP.csv
4,217
- Code
- 34715
- Physician work
- 5.85
- Practice expense
- 0.74
- Malpractice
- 1.48
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.85 | × 1.000 | 5.8500 |
| Practice expense | 0.74 | × 0.940 | 0.6956 |
| Malpractice | 1.48 | × 0.898 | 1.3290 |
| Total RVUs | 7.8746 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$263.02
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.85 | 1 |
| Practice expense | 0.74 | 0.94 |
| Malpractice | 1.48 | 0.898 |
(5.85 × 1 + 0.74 × 0.94 + 1.48 × 0.898) × $33.4009 = $263.02
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
34715 billing questions
When is 34715 chosen instead of 34716?
Use 34715 when the surgeon exposes the axillary or subclavian artery for device delivery without creating a conduit. Use 34716 when a conduit is created.
Can 34715 be billed by itself?
No. It is an add-on and must be reported with an eligible primary endovascular procedure.
What should the operative note support?
Document the artery and side exposed, the open approach for prosthesis delivery, and whether a conduit was created.
How is bilateral exposure reported?
For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.
Is this the same as percutaneous femoral access?
No. 34715 describes open axillary or subclavian exposure; 34713 describes percutaneous femoral access and closure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,21434712,,Tcat dlvr enhncd fixj dev,A,,11.70,3.17,NA,3.17,,2.91,17.78,17.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21534713,,Perq access & clsr fem art,A,,2.44,0.26,NA,0.26,,0.60,3.30,3.30,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21634714,,Opn fem art expos cndt crtj,A,,5.12,0.94,NA,0.94,,1.28,7.34,7.34,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21734715,,Opn ax/subcla art expos,A,,5.85,0.74,NA,0.74,,1.48,8.07,8.07,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21834716,,Opn ax/subcla art expos cndt,A,,7.01,1.39,NA,1.39,,1.73,10.13,10.13,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21934717,,Evasc rpr a-iliac ndgft,A,,8.78,0.89,NA,0.89,,2.21,11.88,11.88,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22034718,,Evasc rpr n/a a-iliac ndgft,A,,23.40,4.02,NA,4.02,,5.89,33.31,33.31,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985