No office rate
34705 describes the primary endovascular aortic repair. Report 34812 as an add-on only when open femoral exposure is also performed for prosthesis delivery.
On this page
CMS RVU26D · Effective 2026-10-01
34812 Femoral exposure Medicare reimbursement rates in Wyoming
Open femoral artery exposure provides groin access for delivery of an endovascular prosthesis during a qualifying aortic or iliac repair. Compare 34812 office and facility rates across CMS payment localities in Wyoming.
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 34812 in Wyoming?
Wyoming 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
$176.01
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 34812: Open femoral artery exposure for endograft delivery
Open femoral artery exposure provides groin access for delivery of an endovascular prosthesis during a qualifying aortic or iliac repair.
This service is an open exposure of a femoral artery through a groin incision to provide access for delivery of an endovascular prosthesis. It is typically performed by a vascular surgeon during endovascular aortic or iliac aneurysm repair when surgical exposure is needed instead of percutaneous access. The exposure supports passage of the endograft delivery system into the artery; it is not the endovascular repair itself.
Report 34812 only with an eligible primary procedure, such as endovascular repair of an infrarenal aortic aneurysm. The operative record should support the open femoral exposure and identify the side or sides and the role of the access in prosthesis delivery. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral exposure, CMS pays 150% when modifier 50 is reported.
CMS billing rules for 34812
- 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 RVU4.03 · 73%
- Practice expense (office) RVU0.47 · 8%
- Malpractice RVU1.04 · 19%
3.5K
Medicare services in 2024 · #2079 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.
34812 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 34812 for open femoral artery exposure through a groin incision; 34820 describes open iliac artery exposure through a retroperitoneal incision.
No office rate
34833 describes open iliac exposure with creation of a conduit. 34812 describes femoral exposure and does not represent conduit creation.
Compare 34812 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$176.01
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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 34812 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,226
- Code
- 34812
- Physician work
- 4.03
- Practice expense
- 0.47
- Malpractice
- 1.04
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.03 | × 1.000 | 4.0300 |
| Practice expense | 0.47 | × 1.000 | 0.4700 |
| Malpractice | 1.04 | × 0.740 | 0.7696 |
| Total RVUs | 5.2696 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$176.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.03 | 1 |
| Practice expense | 0.47 | 1 |
| Malpractice | 1.04 | 0.74 |
(4.03 × 1 + 0.47 × 1 + 1.04 × 0.74) × $33.4009 = $176.01
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.
34812 billing questions
When is 34812 reported instead of percutaneous access?
Report it when the surgeon performs an open groin exposure of the femoral artery to deliver an endovascular prosthesis. Percutaneous arterial access alone does not describe this service.
Can 34812 be billed by itself?
No. It is an add-on and must be reported with an eligible primary procedure involving endovascular prosthesis delivery.
How is bilateral femoral exposure reported?
Report modifier 50 for bilateral performance. CMS pays the code at 150% when modifier 50 is used.
What documentation supports 34812?
Document the open femoral artery exposure, the side or sides, and that the exposure provided access for delivery of the endovascular prosthesis.
How does 34812 differ from 34820?
34812 describes open femoral artery exposure through a groin incision. 34820 is used for open iliac artery exposure through a retroperitoneal incision.
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.
4,2233475F,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,