CPT 34813
Global ZZZ ActiveFemoral endovas graft add-on
CPT 34813 Billing & Documentation Guide
CPT code 34813 (Femoral endovas graft add-on) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.67, a non-facility practice expense RVU of 0.46, and a malpractice RVU of 1.21, a total non-facility RVU of 6.34 and facility RVU of 6.34. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $209.8, though rates vary from $183.15 to $274.19 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 34813, 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 34813 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 34813 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 34813
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.67 | 4.67 |
| Practice Expense RVU | 0.46 | 0.46 |
| Malpractice RVU | 1.21 | 1.21 |
| Total RVU | 6.34 | 6.34 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 34813
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 | $201.67 | $201.67 | $197.14 - $216.96 | 29 |
| Florida | $250.07 | $250.07 | $231.41 - $274.19 | 3 |
| Georgia | $219.23 | $219.23 | $217.86 - $220.6 | 2 |
| Illinois | $248.61 | $248.61 | $233.18 - $265.27 | 4 |
| Michigan | $227.3 | $227.3 | $215.64 - $238.95 | 2 |
| North Carolina | $196.14 | $196.14 | $196.14 - $196.14 | 1 |
| New York | $235.46 | $235.46 | $198.99 - $259.28 | 5 |
| Ohio | $210.75 | $210.75 | $210.75 - $210.75 | 1 |
| Pennsylvania | $215.64 | $215.64 | $208.28 - $223 | 2 |
| Texas | $209.51 | $209.51 | $203.98 - $228.1 | 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 34813
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 34813 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 |
| 35226 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 35860 | 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 |
| 36600 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 37202 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 61650 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 69990 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 76942 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 34813
What does CPT code 34813 mean? +
CPT code 34813 represents: Femoral endovas graft add-on. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 34813? +
The 2026 Medicare national average non-facility payment for CPT 34813 is $209.8. Rates range from $183.15 to $274.19 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 34813? +
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 34813? +
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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