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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $835.02 national non-facility rate (2026) · View Medicare rates for 34001 |
| Medicaid Fee Schedule | $645.71 median of the 8 states in the free preview · View Medicaid rates for 34001 |
National average reimbursement for CPT 34001 by major payers:

$1,253.90

$1,286.57

$1,349.35

$1,470.61
Choose a payer to see a sample of rates for CPT 34001.
Gastro-Surgi Center Of New Jersey
Gastro-Surgi Center Of Nj
Physicians' Surgery Center Of Downey, LLC
Physicians Surgery Center Of
Watson Clinic Asc, LLC
Surgical Center Of Central Florida, LLC
Surgical Center Of Central Florida LLC
Carolina Digestive Diseases, PA
Carolina Digestive Diseases
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 34001 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34001 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 34001 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 34001-CPT | High | Blood Clot Removal, Surgery To Remove A Blood Clot From An Artery Or Vein In The Leg Arm Abdomen Or Neck. The Blood Vessel May Be Opened Up Or A Thin Tube (Catheter) Inserted Into The Vessel To Remove The Clot. |
| 34051-CPT | High | Blood Clot Removal, Surgery To Remove A Blood Clot From An Artery Or Vein In The Leg Arm Abdomen Or Neck. The Blood Vessel May Be Opened Up Or A Thin Tube (Catheter) Inserted Into The Vessel To Remove The Clot. |
| 34101-CPT | Moderate | Blood Clot Removal, Surgery To Remove A Blood Clot From An Artery Or Vein In The Leg Arm Abdomen Or Neck. The Blood Vessel May Be Opened Up Or A Thin Tube (Catheter) Inserted Into The Vessel To Remove The Clot. |
| 34111-CPT | Moderate | Blood Clot Removal, Surgery To Remove A Blood Clot From An Artery Or Vein In The Leg Arm Abdomen Or Neck. The Blood Vessel May Be Opened Up Or A Thin Tube (Catheter) Inserted Into The Vessel To Remove The Clot. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34001 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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