CPT 34843 Fee Schedule
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.
| 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 • 62 - Co-Surgeons • GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 34843 |
National average reimbursement for CPT 34843 by major payers:
$2,291.63
$2,451.49
$2,346.86
$3,806.84
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 34843 | ||||||
United | 34843 | $983.00 | 1942851639 - NORTHERN MICHIGAN SURGICAL SUITES, LLC | 830670803 - (MI) NORTHERN MICHIGAN SURGICAL SUITES, LLC | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $465.00 | 1548399561 - DES PERES EYE SURGERY CENTER, LLC, ST LOUIS EYE SURGERY AND LASER CENTER | 208491493 - (MO) DES PERES EYE SURGERY CENTER, LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $105.00 | 1285333914 - ARIZONA SURGICAL SPECIALISTS CENTER, LLC, ARIZONA SURGICAL SPECIALISTS CENTER, LLC - SCOTTSDALE | 760737449 - (AZ) ARIZONA SURGICAL SPECIALISTS CENTER LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $1064.00 | 1366444929 - EAST WEST SURGERY CENTER LP | 621797897 - (GA) EAST WEST SURGERY CENTER LP | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $420.00 | 1952917445 - AURORA SURGICAL CENTER LLC | 852607513 - (AZ) AURORA SURGICAL CENTER LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $275.00 | 1770907172 - EYE AND LASER SURGERY CENTERS OF NEW JERSEY LLC | 462875016 - (NJ) EYE AND LASER SURGERY CENTERS OF NEW JERSEY LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $415.00 | 1023399318 - CANDESCENT EYE SURGICENTER LLC | 452898656 | RI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $6068.00 | 1407592769 - TEXAS HEALTH SURGERY CENTER WILLOW PARK LLC, TEXAS HEALTH ORTHOPEDIC AND SPINE SURGERY CENTER | 841953918 - (TX) TEXAS HEALTH SURGERY CENTER WILLOW PARK LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $170.00 | 1134499684 - CHILDRENS SURGERY CENTER OF MALVERN, LLC | 452608984 - (PA) CHILDRENS SURGERY CENTER OF MALVERN LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $2164.00 | 1740231489 - STONEGATE SURGERY CENTER LP | 201211544 - (TX) STONEGATE SURGERY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $1274.00 | 1477569069 - FISH POND SURGERY CENTER, LLC | 742901471 - (TX) FISH POND SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $650.00 | 1912900143 - E STREET ENDOSCOPY LLC, WEST COAST ENDOSCOPY | 593705426 - (FL) E STREET ENDOSCOPY | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $925.00 | 1750874400 - DENVER DIAGNOSTIC ASC, LLC | 825510334 - (CO) DENVER DIAGNOSTIC ASC LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $500.00 | 1811387368 - AUA SURGICAL CENTER, LLC | 471131186 - (TX) AUA SURGICAL CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34843 | $388.00 | 1831153527 - THE SURGICAL CENTER OF GREATER ANNAPOLIS, INC. | 521532190 - (MD) THE SURGICAL CENTER OF GREATER ANNAPOLIS INC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 34843 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34843 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 34843 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 |
|---|---|---|
| 34718-CPT | 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 |
| 34839-CPT | Low | Physician Planning Of A Patient-Specific Fenestrated Visceral Aortic Endograft Requiring A Minimum Of 90 Minutes Of Physician Time |
| 34841-CPT | High | Endovascular Repair Of Visceral Aorta (Eg Aneurysm Pseudoaneurysm Dissection Penetrating Ulcer Intramural Hematoma Or Traumatic Disruption)By Deployment Of A Fenestrated Visceral Aortic Endograft And All Associated Radiological Supervisionand Interpretation Including Target Zone Angio Plasty When Performed; Including One Visceral Artery Endoprosthesis (Superior Mesenteric Celiac Or Renal Artery) |
| 34843-CPT | High | Endovascular Repair Of Visceral Aorta (Eg Aneurysm Pseudoaneurysm Dissection Penetrating Ulcer Intramural Hematoma Or Traumatic Disruption)By Deployment Of A Fenestrated Visceral Aortic Endograft And All Associated Radiological Supervisionand Interpretation Including Target Zone Angio Plasty When Performed; Including Three Visceral Artery Endoprostheses (Superior Mesenteric Celiac And/Or Renal Artery[S]) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34843. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34843 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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