CPT 34703
Global 090 ActiveEvasc rpr a-unilac ndgft
CPT 34703 Billing & Documentation Guide
CPT code 34703 (Evasc rpr a-unilac ndgft) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 25.86, a non-facility practice expense RVU of 4.71, and a malpractice RVU of 6.49, a total non-facility RVU of 37.06 and facility RVU of 37.06. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1231.13, though rates vary from $1081.22 to $1582.61 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 34703, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 34703 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 34703 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 34703
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 25.86 | 25.86 |
| Practice Expense RVU | 4.71 | 4.71 |
| Malpractice RVU | 6.49 | 6.49 |
| Total RVU | 37.06 | 37.06 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 34703
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1198.41 | $1198.41 | $1167.04 - $1301.8 | 29 |
| Florida | $1443.57 | $1443.57 | $1339.95 - $1575.73 | 3 |
| Georgia | $1274.5 | $1274.5 | $1262.47 - $1286.52 | 2 |
| Illinois | $1433.03 | $1433.03 | $1346.19 - $1525.39 | 4 |
| Michigan | $1316.57 | $1316.57 | $1252.11 - $1381.04 | 2 |
| North Carolina | $1149.04 | $1149.04 | $1149.04 - $1149.04 | 1 |
| New York | $1374.91 | $1374.91 | $1165.59 - $1508.62 | 5 |
| Ohio | $1225.88 | $1225.88 | $1225.88 - $1225.88 | 1 |
| Pennsylvania | $1257.34 | $1257.34 | $1213.01 - $1301.67 | 2 |
| Texas | $1224.73 | $1224.73 | $1195.64 - $1325.15 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 34703
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 34703 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0075T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0553T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 34703
What does CPT code 34703 mean? +
CPT code 34703 represents: Evasc rpr a-unilac ndgft. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 34703? +
The 2026 Medicare national average non-facility payment for CPT 34703 is $1231.13. Rates range from $1081.22 to $1582.61 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 34703? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 34703? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
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