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See a sample rate comparisonCPT 34101 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $543.77 national non-facility rate (2026) · View Medicare rates for 34101 |
| Medicaid Fee Schedule | $422.225 median of the 8 states in the free preview · View Medicaid rates for 34101 |
National average reimbursement for CPT 34101 by major payers:
$772.48
$841.23
$885.84
$963.65
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CPT 34101
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$20,777.00Published rateSurgicare Of Miramar LLC
$6,087.00Published rateCapitol Street Surgery Center LLC
Capitol Street Surgery Center Ll
$2,316.00Published rateLouisville Endoscopy Center, PLLC, Louisville Endoscopy Center
Louisville Endoscopy Center PLLC
$1,083.00Published rateMarc Zabate
Deaconess Hospital Inc
$473.20Published rate
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See a sample payer proposalCPT 34101 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34101 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 34101 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 34101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34101 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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