No office rate
34717 reports the initial iliac vessel treated with a branch endoprosthesis. Use 34718 for each additional vessel treated during the repair.
On this page
CMS RVU26D · Effective 2026-10-01
34718 Iliac branch repair Medicare reimbursement rates in Vermont
Reports treatment of an additional iliac vessel with an iliac branch endoprosthesis during endovascular repair, beyond the initial vessel. Compare 34718 office and facility rates across CMS payment localities in Vermont.
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 34718 in Vermont?
Vermont 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
$1014.06
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Endovascular surgery
About 34718: Additional Iliac Branch Endoprosthesis Vessel
Reports treatment of an additional iliac vessel with an iliac branch endoprosthesis during endovascular repair, beyond the initial vessel.
This code covers deployment of an iliac branch endoprosthesis to treat an additional iliac vessel during endovascular aneurysm repair. The branched device is used to exclude an iliac aneurysm while maintaining blood flow into the internal iliac artery when that branch is treated. Vascular surgeons and other physicians performing endovascular repair typically provide the service in a hospital or other facility setting. The additional-vessel service may be performed on the opposite side from the initial repair when bilateral anatomy requires branch devices on both sides.
Report this code with 34717 for each additional vessel treated; 34717 represents the initial vessel. The operative report should identify the vessels treated and document deployment of the additional iliac branch endoprosthesis. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 34718
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU23.40 · 70%
- Practice expense (office) RVU4.02 · 12%
- Malpractice RVU5.89 · 18%
413
Medicare services in 2024 · #3713 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.
34718 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
34707 describes iliac endograft repair without the branch-endoprosthesis service represented by 34718. Select based on the device and repair performed.
No office rate
34709 addresses placement of a prosthetic extension during endovascular repair; 34718 represents treatment of an additional vessel with an iliac branch endoprosthesis.
No office rate
34705 describes aorto-bi-iliac endograft repair. 34718 is for an additional iliac vessel treated with a branch endoprosthesis.
Compare 34718 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1014.06
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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 34718 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,220
- Code
- 34718
- Physician work
- 23.40
- Practice expense
- 4.02
- Malpractice
- 5.89
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.40 | × 1.000 | 23.4000 |
| Practice expense | 4.02 | × 0.990 | 3.9798 |
| Malpractice | 5.89 | × 0.506 | 2.9803 |
| Total RVUs | 30.3601 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1014.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.4 | 1 |
| Practice expense | 4.02 | 0.99 |
| Malpractice | 5.89 | 0.506 |
(23.4 × 1 + 4.02 × 0.99 + 5.89 × 0.506) × $33.4009 = $1014.06
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.
34718 billing questions
When should 34718 be reported instead of 34717?
Use 34717 for the initial iliac vessel treated with an iliac branch endoprosthesis. Report 34718 for each additional vessel treated in the same repair.
Can 34718 be reported without 34717?
No. It represents an additional-vessel service and is reported with 34717 for the initial vessel.
What documentation supports 34718?
Document the additional iliac vessel treated and deployment of the iliac branch endoprosthesis. The operative report should distinguish the additional vessel from the initial vessel reported with 34717.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the initial and additional vessel services as applicable rather than using modifier 50.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS also permits assistant-at-surgery payment and co-surgeons for this service.
How are other procedures in the same session paid?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures in the session are paid at 50%.
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.
4,21734715,,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
4,2213471F,,Ra disease activity mod,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2223472F,,Ra disease activity high,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2233475F,,Disease progn ra poor docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817