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See a sample rate comparisonCPT 34530 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Surgery To Re-Route A Vein, Surgery To Disconnect A Major Vein (Saphenous Vein) In The Lower Leg And Reconnect It To A Vein Behind The Knee.
| 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 | AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $860.74 national non-facility rate (2026) · View Medicare rates for 34530 |
| Medicaid Fee Schedule | $666.96 median of the 8 states in the free preview · View Medicaid rates for 34530 |
National average reimbursement for CPT 34530 by major payers:
$1,333.42
$1,343.80
$1,377.34
$1,529.48
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CPT 34530
5 of 25 sample ratesHigher to lower in this preview
90210 Surgery Medical Center, LLC, 90210 Surgery Medical Center At Linden
90210 Surgery Medical Center
$6,451.00Published rateArc Worcester Center, L.P.
Arc Worcester Center Lp
$3,623.00Published rateBloomington Advanced Surgery Center, LLC, Bloomington Advanced Surgery Center
Bloomington Advanced Surgery Center LLC
$2,380.00Published rateHealthqare Services Asc LLC, Healthqare Services Asc LLC
Healthqare Services Asc LLC
$1,700.00Published rateSt Marks Surgical Center LLC
$1,072.00Published rate
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See a sample payer proposalCPT 34530 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34530 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 34530 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 |
|---|---|---|
| 34510-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. |
| 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. |
| 34530-CPT | High | Surgery To Re-Route A Vein, Surgery To Disconnect A Major Vein (Saphenous Vein) In The Lower Leg And Reconnect It To A Vein Behind The Knee. |
| 34832-CPT | High | Revision Of Artery Repair, Surgery To Revise An Initial Failed Attempt To Stabilize A Bulge (Aneurysm) Or Repair A Segment Of The Largest Artery (Aorta). The Procedure Inserts A Support Device (Stent). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34530 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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