No office rate
34808 concerns placement of an iliac occlusion device. Choose 34813 for the crossover bypass graft, not for occluding the opposite iliac artery.
On this page
CMS RVU26D · Effective 2026-10-01
34813 Femoral-femoral bypass Medicare reimbursement rates in Vermont
Reports a crossover femoral bypass performed during endovascular aortic aneurysm repair when an aorto-uni-iliac graft configuration requires restored flow to the opposite leg. Compare 34813 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 34813 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
$191.64
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.
Vascular surgery
About 34813: Femoral-femoral bypass for endovascular repair
Reports a crossover femoral bypass performed during endovascular aortic aneurysm repair when an aorto-uni-iliac graft configuration requires restored flow to the opposite leg.
This add-on describes creating a graft connection between the femoral arteries during endovascular repair of an abdominal aortic aneurysm. It is commonly needed with an aorto-uni-iliac endograft: the device directs aortic flow into one iliac system, and the crossover graft carries blood to the opposite leg. A vascular surgeon performs the bypass as part of the operative repair, generally in a hospital or other facility setting.
Report 34813 only with the primary endovascular repair code when the femoral-femoral bypass is actually performed; it is not a stand-alone service. The operative report should establish the endograft configuration, the need for the crossover, and the graft connection between the femoral vessels. CMS treats this as an add-on billed with the primary procedure and paid within that procedure’s global period.
CMS billing rules for 34813
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.67 · 74%
- Practice expense (office) RVU0.46 · 7%
- Malpractice RVU1.21 · 19%
104
Medicare services in 2024 · #4851 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.
34813 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
34812 describes open femoral artery exposure for endograft delivery. It is not the femoral-to-femoral bypass graft reported with 34813.
Compare 34813 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
$191.64
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 34813 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,227
- Code
- 34813
- Physician work
- 4.67
- Practice expense
- 0.46
- Malpractice
- 1.21
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.67 | × 1.000 | 4.6700 |
| Practice expense | 0.46 | × 0.990 | 0.4554 |
| Malpractice | 1.21 | × 0.506 | 0.6123 |
| Total RVUs | 5.7377 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$191.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.67 | 1 |
| Practice expense | 0.46 | 0.99 |
| Malpractice | 1.21 | 0.506 |
(4.67 × 1 + 0.46 × 0.99 + 1.21 × 0.506) × $33.4009 = $191.64
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.
34813 billing questions
When is 34813 appropriate with an endovascular aneurysm repair?
Use it when the repair includes construction of a femoral-to-femoral crossover graft, commonly to supply the opposite leg with an aorto-uni-iliac endograft. Do not report it for endograft placement alone.
Which primary procedure is commonly paired with 34813?
It is commonly paired with 34805 for an aorto-uni-iliac endovascular repair. Report the primary repair as well; 34813 cannot be billed by itself.
Can 34813 be reported for an iliac occlusion device alone?
No. An iliac occlusion device and a femoral-femoral bypass are different services; 34813 represents the bypass, not device placement.
What documentation supports reporting the bypass?
The operative report should describe the crossover graft, its femoral artery connections, and how it relates to the endovascular repair configuration.
Does 34813 have a separate global period?
CMS identifies it as an add-on paid within the primary procedure’s global period. Report it with the primary procedure rather than as a separate stand-alone 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 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.
4,2243476F,,Disease progn ra good 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
4,22534808,,Endovas iliac a device addon,A,,4.02,0.39,NA,0.39,,1.03,5.44,5.44,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22634812,,Opn fem art expos,A,,4.03,0.47,NA,0.47,,1.04,5.54,5.54,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22734813,,Femoral endovas graft add-on,A,,4.67,0.46,NA,0.46,,1.21,6.34,6.34,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22834820,,Opn iliac art expos,A,,6.83,0.54,NA,0.54,,1.74,9.11,9.11,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22934830,,Open aortic tube prosth repr,A,,34.35,4.80,NA,4.80,,8.79,47.94,47.94,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,23034831,,Open aortoiliac prosth repr,A,,37.03,6.07,NA,6.07,,9.42,52.52,52.52,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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