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See a sample rate comparisonHealthcare 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 23 - Emergency Room |
| Common Modifiers | RT - Right side of body AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $338.35 national non-facility rate (2026) · View Medicare rates for 34716 |
| Medicaid Fee Schedule | $261.285 median of the 8 states in the free preview · View Medicaid rates for 34716 |
National average reimbursement for CPT 34716 by major payers:

$493.07

$526.38

$541.39

$602.01
Choose a payer to see a sample of rates for CPT 34716.
Saint Lukes South Surgery Center LLC
Springfield Clinic LLP, Springfield Clinic Ambulatory Surgery Center
Springfield Clinic, LLP
Shady Grove Reproductive Science Center PC, Sgfc Surgery Center
Ehlers Eye Surgery LLC
John P Lydon Dpm, Bethesda Ambulatory Surgical Center
John P Lydon, Dpm
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Rate Benchmarking
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See a sample payer proposalCPT 34716 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34716 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 34716 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-CPT | Moderate | Open Axillarysubclavian Arter, Open Axillarysubclavian Artery Exposure For Delivery Of Endovascular Prosthesis By Infraclavicular Or Supraclavicular Incision Unilateral (List Separately In Addition To Code For Primary Procedure) To Code For Primary Procedure) All Nonselective Catheterization(S) All Associate |
| 34716-CPT | Moderate | Open Axillary/Subclavian Artery Exposure With Creation Of Conduit, 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 |
| 34717-CPT | Moderate | Evasc Rpr A Iliac Ndgft, Endovascular Repair Of Iliac Artery At The Time Of Aorto Iliac Artery Endograft Placement 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 Treatment Zone Angioplasty Stenting When Performed For Rupture Or Other Than Rupture Eg For Aneurysm Pseudoaneurysm Dissection Arteriovenous Malformation Penetrating Ulcer Traumatic Disruption Unilateral List Separately In Addition To Code For Primary Procedure |
| 34830-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 34716. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34716 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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