CPT 34715 Fee Schedule
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.
| 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 | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | Moderate |
National average reimbursement for CPT 34715 by major payers:
$405.29
$424.26
$429.85
$495.05
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
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CPT 34715 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34715 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 34715 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 |
|---|---|---|
| 34715 | Moderate | Open Axillary/Subclavian Artery Exposure For Delivery Of Endovascular Prosthesis By Infraclavicular Or Supraclavicular Incision Unilateral (List Separately In Addition To Code For Primary Procedure) |
| 34716 | Moderate | Open Axillary/Subclavian Artery Exposure With Creation Of Conduit For Delivery Of Endovascular Prosthesis Or For Establishment Of Cardiopulmonary Bypass By Infraclavicular Or Supraclavicular Incision Unilateral (List Separately In Addition To Code For Primary Procedure) |
| 34718 | High | Endovascular Repair Of Iliac Artery, Not Associated With Placement Of An Aorto-Iliac Artery Endograft At The Same Session, By Deployment Of An Iliac Branched Endograft, Including Pre-Procedure Sizing And Device Selection, All Ipsilateral Selective Iliac Artery Catheterization(S), All Associated Radiological Supervision And Interpretation, And All Endograft Extension(S) Proximally To The Aortic Bifurcation And Distally In The Internal Iliac, External Iliac, And Common Femoral Artery(Ies), And Tre |
| 34831 | High | Open Repair Of Infrarenal Aortic Aneurysm Or Dissection, Plus Repair Of Associated Arterial Trauma, Following Unsuccessful Endovascular Repair; Aorto-Bi-Iliac Prosthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34715. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34715 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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Medicare Reimbursement Lookup Tool
Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)
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| Year | Billing Code | Locality | Non-Facility Fee | Facility Fee |
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