CPT 2026 · Surgery (Respiratory/Cardiovascular)

CPT 34808

Global ZZZ Active

Endovas iliac a device addon

Effective 2026-04-01 Conv. factor $33.4009
$180.06
National Avg (Non-Fac)
5.44
Total RVU
10
NCCI Partners
109
MPFS Localities

CPT 34808 Billing & Documentation Guide

CPT code 34808 (Endovas iliac a device addon) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.02, a non-facility practice expense RVU of 0.39, and a malpractice RVU of 1.03, a total non-facility RVU of 5.44 and facility RVU of 5.44. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $180.06, though rates vary from $157.35 to $234.84 based on MAC locality and Geographic Practice Cost Indices (GPCIs).

When billing 34808, 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 34808 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator
A

Active code (paid under MPFS)

Global Period
ZZZ

Add-on code (global concept does not apply)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service
1
Rationale: Nature of Service/Procedure
Adjudication: Date of Service (Clinical)
Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 34808 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 34808

Component Non-Facility Facility
Work RVU4.024.02
Practice Expense RVU0.390.39
Malpractice RVU1.031.03
Total RVU5.445.44
Conversion Factor$33.4009

2026 Medicare Reimbursement by State, CPT 34808

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 $173.15 $173.15 $169.27 - $186.27 29
Florida $214.31 $214.31 $198.43 - $234.84 3
Georgia $188.07 $188.07 $186.9 - $189.23 2
Illinois $213.07 $213.07 $199.94 - $227.26 4
Michigan $194.93 $194.93 $185.01 - $204.85 2
North Carolina $168.41 $168.41 $168.41 - $168.41 1
New York $201.94 $201.94 $170.83 - $222.24 5
Ohio $180.84 $180.84 $180.84 - $180.84 1
Pennsylvania $185.02 $185.02 $178.74 - $191.29 2
Texas $179.79 $179.79 $175.09 - $195.62 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 34808

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 34808 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
35226 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
35454 Column 1 (primary), can be billed with modifier Yes Mutually exclusive procedures
35473 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
36000 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
36120 Column 1 (primary), can be billed with modifier 9 CPT Manual or CMS manual coding instruction
36410 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
36591 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
36592 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction

Frequently Asked Questions, CPT 34808

What does CPT code 34808 mean? +

CPT code 34808 represents: Endovas iliac a device addon. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.

What is the Medicare reimbursement for CPT 34808? +

The 2026 Medicare national average non-facility payment for CPT 34808 is $180.06. Rates range from $157.35 to $234.84 across 53 states depending on MAC locality and GPCIs.

What modifiers can I use with CPT 34808? +

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 34808? +

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 21, 2026.

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