CPT code 33946: ECMO initiation, venovenous, age six and older2026 Medicare rate & RVUs in Virgin Islands, VI

In Virgin Islands, VI, Medicare pays $279.40 for 33946 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33946 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33946 covers

This service covers starting venovenous extracorporeal membrane oxygenation or extracorporeal life support in a patient age six or older. Venous blood is routed through an extracorporeal circuit for gas exchange and returned to the venous circulation, supporting patients with severe respiratory failure when conventional respiratory support is inadequate. The physician directing initiation may be a critical care specialist, cardiothoracic surgeon, or another clinician experienced in ECMO, typically in an intensive care setting.

Report 33946 for the initiation phase, not for ongoing daily ECMO management or an arterial-return configuration. The record should establish the patient’s age, the venovenous support configuration, the clinical need for ECMO, and the physician’s work initiating the service. Cannula insertion has separate codes in the ECMO/ECLS code family when that work is performed.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virgin Islands, VI compares for 33946

Across 109 of 109 payment localities, the facility rate for 33946 runs from $248.68 in Wisconsin to $361.10 in Alaska. Virgin Islands, VI pays $279.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33946 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 33946 in every payment locality

How the 33946 rate is calculated

Each of 33946’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 33946

33946 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 33946

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33946 has changed in Virgin Islands, VI

Price 33946 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

• Charlotte Amalie
• Charlotte Amalie East
• Charlotte Amalie West
• Christiansted
• Coral Bay
• Cruz Bay
• Frederiksted
• Frederiksted Southeast

Browse all communities in United States Virgin Islands

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates