34490 Removal of vein clot
Also known as: axillary vein thrombectomy, upper extremity thrombectomy
Removal of a venous thrombus or embolus from the axillary vein. Surgical extraction of blood clot from the axillary vein.
In Plain Language
removing blood clot from armpit vein
Clinical Context
Used for acute axillary vein thrombosis, often secondary to thoracic outlet syndrome or catheter placement. Prevents upper extremity complications.
RVU Breakdown
| Work RVU | 10.64 |
| Total RVU | 10.64 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.64, this code ranks in the 61st percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 34490?
CPT 34490 (Removal of vein clot) is a Surgery code. Removal of a venous thrombus or embolus from the axillary vein. Surgical extraction of blood clot from the axillary vein.
What is the wRVU value for CPT 34490?
The work RVU for CPT 34490 is 10.64. This code is primarily used by Vascular Surgery, Cardiovascular Surgery. It has a 90-day global period.
When is CPT 34490 used?
Used for acute axillary vein thrombosis, often secondary to thoracic outlet syndrome or catheter placement. Prevents upper extremity complications.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.