CPT 34713
Global ZZZ ActivePerq access & clsr fem art
CPT 34713 Billing & Documentation Guide
CPT code 34713 (Perq access & clsr fem art) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.44, a non-facility practice expense RVU of 0.26, and a malpractice RVU of 0.6, a total non-facility RVU of 3.3 and facility RVU of 3.3. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $109.38, though rates vary from $95.99 to $142.54 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 34713, 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 34713 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 34713 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 34713
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.44 | 2.44 |
| Practice Expense RVU | 0.26 | 0.26 |
| Malpractice RVU | 0.6 | 0.6 |
| Total RVU | 3.3 | 3.3 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 34713
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 | $105.56 | $105.56 | $103.14 - $113.73 | 29 |
| Florida | $129.22 | $129.22 | $119.92 - $141.22 | 3 |
| Georgia | $113.88 | $113.88 | $113.13 - $114.63 | 2 |
| Illinois | $128.47 | $128.47 | $120.75 - $136.79 | 4 |
| Michigan | $117.86 | $117.86 | $112.05 - $123.67 | 2 |
| North Carolina | $102.41 | $102.41 | $102.41 - $102.41 | 1 |
| New York | $122.3 | $122.3 | $103.84 - $134.25 | 5 |
| Ohio | $109.63 | $109.63 | $109.63 - $109.63 | 1 |
| Pennsylvania | $112.16 | $112.16 | $108.41 - $115.91 | 2 |
| Texas | $109.11 | $109.11 | $106.39 - $118.35 | 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 34713
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 34713 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 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 |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 34713
What does CPT code 34713 mean? +
CPT code 34713 represents: Perq access & clsr fem art. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 34713? +
The 2026 Medicare national average non-facility payment for CPT 34713 is $109.38. Rates range from $95.99 to $142.54 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 34713? +
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 34713? +
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 June 1, 2026.
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