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See a sample rate comparisonCPT 34490 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | LT - Left side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $527.73 national non-facility rate (2026) · View Medicare rates for 34490 |
| Medicaid Fee Schedule | $452.345 median of the 8 states in the free preview · View Medicaid rates for 34490 |
National average reimbursement for CPT 34490 by major payers:
$835.62
$869.30
$903.10
$986.58
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CPT 34490
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Issaquah Asc
Virginia Mason Medical Center
$6,399.00Published rateMontana Endoscopy Center, PLLC
Montana Endoscopy Center PLLC
$3,155.00Published rateMd Laser Surgery Center, LLC
Md Laser Surgery Center LLC
$1,600.00Published rateDonna Lilly
Deaconess Hospital Inc
$1,103.94Published rateGynemed Surgical Center
$631.00Published rate
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See a sample payer proposalCPT 34490 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34490 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 34490 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 |
|---|---|---|
| 34490-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. |
| 34501-CPT | High | Reconstruct Blood Vessel Valve, Surgery To Repair And Reconstruct A Valve In The Major Blood Vessel In The Groin (Femoral Vein). |
| 34520-CPT | High | Reconstruct Vein Valve, Surgery To Reconstruct A Malfunctioning Valve Located In A Vein Anywhere In The Body. The Procedure May Involve Grafting A Replacement Or Connecting The Vein To Another Valve. |
| 34713-CPT | Low | Percutaneous Access And Closur, Percutaneous Access And Closure Of Femoral Artery For Delivery Of Endograft Through A Large Sheath (12 French Or Larger) Including Ultrasound Guidance When Performed Unilateral (List Separately In Addition To Code For Primary Procedure) All Nonselective Catheterization(S) All Associate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34490. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34490 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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