Billing code 34808: Iliac branch deviceMedicare rate & RVUs in Washington
Reports each additional iliac branch endoprosthesis used during endovascular iliac artery repair, beyond the initial device for that side.
CMS doesn’t publish an office rate for 34808 in Washington.
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 34808 covers
This add-on code accounts for an additional iliac branch endoprosthesis placed during endovascular repair of an iliac artery. A typical clinical use is treating iliac aneurysmal disease while maintaining blood flow into the internal iliac artery through a branched graft configuration. Vascular surgeons and other physicians performing endovascular aortic or iliac repair use it in an operating room or endovascular suite.
Report 34808 only for an additional device after the initial unilateral iliac branch endoprosthesis has been reported with the primary procedure. The operative report should identify the side, the initial and additional branch devices, and their placement as part of the repair. The code includes the associated catheterization, imaging guidance, angiography, and radiological supervision and interpretation needed to complete the intervention. CMS classifies it as an add-on: it must be billed with a primary procedure and is paid within that procedure’s global period.
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.
Where 34808 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $175.91 |
| Seattle (King Cnty) | Unavailable | $185.08 |
How the 34808 rate is calculated
Each of 34808’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 · 34808
RVUs × geographic indexes × conversion factor
Work4.02
4.02 RVUs× 1.000 GPCI
Practice expense0.39
0.39 RVUs× 1.000 GPCI
Malpractice1.03
1.03 RVUs× 1.000 GPCI
Adjusted RVUs
5.4400
Conversion factor
$33.4009
Medicare rate
$181.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 34808
The CMS indicators that decide how 34808 is paid alongside other services.
CMS payment indicators · 34808
Iliac branch device
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 80 · payment effect
With and without the modifier
34808 without 80 · national facility
$181.70
Iliac branch device
34808-80 · Assistant: 16%
$29.07
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
34808 compared with similar codes
Compare codes · National
34808 vs 34707 vs 34708: Medicare rates
How to choose
- 34707Iliac endograft repair
- 34707 describes unilateral iliac endograft repair without the iliac branch endoprosthesis represented by this code family.
- 34708Iliac endograft repair
- 34708 is an add-on for an additional iliac artery endograft in the nonbranched repair family; 34808 is for an additional iliac branch endoprosthesis.
34808 billing questions
Can 34808 be billed by itself?
No. It is an add-on code and must accompany the applicable primary procedure for the initial iliac branch endoprosthesis.
When is 34808 reported instead of 34807?
34807 represents the initial unilateral iliac branch endoprosthesis; 34808 is for each additional branch endoprosthesis.
Are catheterization and imaging services separately reported?
The associated catheterization, imaging guidance, angiography, and radiological supervision and interpretation needed to complete the intervention are included in the endovascular repair service.
What documentation supports an additional-device charge?
Document the treated side, the initial device, and the additional branch endoprosthesis placed during the repair.
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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