CPT code 33947: ECMO initiation, venoarterial configuration2026 Medicare rate & RVUs in Idaho
Reports physician initiation of venoarterial ECMO/ECLS to provide circulatory and respiratory support in severe cardiac or cardiopulmonary failure.
In Idaho, Medicare pays $279.84 for 33947 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33947 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33947 covers
This service covers starting venoarterial extracorporeal membrane oxygenation or extracorporeal life support, which returns oxygenated blood to the arterial circulation while supporting cardiac and respiratory function. Cardiothoracic or vascular surgeons and other physicians involved in ECMO care may perform the initiation in an intensive care unit, operating room, or emergency setting. Typical circumstances include cardiogenic shock, cardiac arrest, or inability to separate from cardiopulmonary bypass when temporary extracorporeal support is needed.
Report 33947 for the initiation phase, not for ongoing daily management. The record should establish the clinical need for support, the venoarterial configuration, and the physician’s role in starting the circuit. Cannula insertion has its own codes when that work is performed and separately reportable; identify the cannula site and procedure in the documentation.
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 Idaho compares for 33947
Across 109 of 109 payment localities, the facility rate for 33947 runs from $273.79 in Wisconsin to $397.98 in Alaska. Idaho pays $279.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$279.84
- Los Angeles, CA · California$309.63+$29.79
- Washington, DC area · District of Columbia$333.35+$53.51
- Miami, FL · Florida$382.16+$102.32
- Chicago, IL · Illinois$371.02+$91.18
- Manhattan, NY · New York$357.06+$77.22
- Alaska · Alaska$397.98+$118.14
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $282.17 |
| ArkansasArkansas | — | $279.04 |
| ArizonaArizona | — | $300.10 |
| Bakersfield, CACalifornia | — | $298.34 |
| Chico, CACalifornia | — | $294.47 |
| El Centro, CACalifornia | — | $294.70 |
| Fresno, CACalifornia | — | $294.47 |
| Hanford, CACalifornia | — | $294.47 |
| Madera, CACalifornia | — | $294.47 |
| Merced, CACalifornia | — | $294.47 |
| Modesto, CACalifornia | — | $294.47 |
| Napa, CACalifornia | — | $313.16 |
| Oxnard, CACalifornia | — | $304.84 |
| Redding, CACalifornia | — | $294.47 |
| Rest of CaliforniaCalifornia | — | $294.47 |
| Riverside, CACalifornia | — | $309.61 |
| Sacramento, CACalifornia | — | $301.61 |
| Salinas, CACalifornia | — | $300.35 |
| San Diego, CACalifornia | — | $302.10 |
| Marin County, CACalifornia | — | $321.93 |
| San Francisco, CACalifornia | — | $320.33 |
| San Benito County, CACalifornia | — | $330.25 |
| Santa Clara County, CACalifornia | — | $323.70 |
| San Luis Obispo, CACalifornia | — | $296.42 |
| Santa Cruz, CACalifornia | — | $300.74 |
| Santa Maria, CACalifornia | — | $300.02 |
| Santa Rosa, CACalifornia | — | $303.27 |
| Stockton, CACalifornia | — | $294.47 |
| Vallejo, CACalifornia | — | $310.85 |
| Visalia, CACalifornia | — | $294.47 |
| Yuba City, CACalifornia | — | $294.47 |
| ColoradoColorado | — | $303.47 |
| ConnecticutConnecticut | — | $325.99 |
| DelawareDelaware | — | $304.07 |
| Fort Lauderdale, FLFlorida | — | $346.93 |
| Rest of FloridaFlorida | — | $329.98 |
| Atlanta, GAGeorgia | — | $319.13 |
| Rest of GeorgiaGeorgia | — | $312.43 |
| Hawaii, Guam, HIHawaii | — | $294.69 |
| IowaIowa | — | $276.03 |
| East St. Louis, ILIllinois | — | $352.41 |
| Rest of IllinoisIllinois | — | $330.85 |
| Suburban Chicago, ILIllinois | — | $347.38 |
| IndianaIndiana | — | $280.77 |
| KansasKansas | — | $280.57 |
| KentuckyKentucky | — | $299.25 |
| New Orleans, LALouisiana | — | $312.02 |
| Rest of LouisianaLouisiana | — | $301.09 |
| Metropolitan Boston, MAMassachusetts | — | $320.77 |
| Rest of MassachusettsMassachusetts | — | $304.59 |
| Baltimore area, MDMaryland | — | $326.22 |
| Rest of MarylandMaryland | — | $307.13 |
| Rest of MaineMaine | — | $286.85 |
| Southern Maine, MEMaine | — | $290.50 |
| Detroit, MIMichigan | — | $339.01 |
| Rest of MichiganMichigan | — | $310.41 |
| MinnesotaMinnesota | — | $276.45 |
| Metropolitan Kansas City, MOMissouri | — | $304.44 |
| Metropolitan St. Louis, MOMissouri | — | $306.20 |
| Rest of MissouriMissouri | — | $300.80 |
| MississippiMississippi | — | $289.68 |
| MontanaMontana | — | $308.20 |
| North CarolinaNorth Carolina | — | $288.25 |
| North DakotaNorth Dakota | — | $280.32 |
| NebraskaNebraska | — | $275.50 |
| New HampshireNew Hampshire | — | $304.27 |
| Northern New JerseyNew Jersey | — | $332.35 |
| Rest of New JerseyNew Jersey | — | $325.67 |
| New MexicoNew Mexico | — | $313.99 |
| NevadaNevada | — | $300.47 |
| NYC suburbs and Long Island, NYNew York | — | $371.05 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $332.21 |
| Queens, NYNew York | — | $351.18 |
| Rest of New YorkNew York | — | $292.03 |
| OhioOhio | — | $304.72 |
| OklahomaOklahoma | — | $292.93 |
| Portland, OROregon | — | $304.73 |
| Rest of OregonOregon | — | $294.12 |
| Metropolitan Philadelphia, PAPennsylvania | — | $323.13 |
| Rest of PennsylvaniaPennsylvania | — | $301.98 |
| Puerto RicoPuerto Rico | — | $308.08 |
| Rhode IslandRhode Island | — | $308.80 |
| South CarolinaSouth Carolina | — | $297.77 |
| South DakotaSouth Dakota | — | $277.02 |
| TennesseeTennessee | — | $282.35 |
| Austin, TXTexas | — | $305.99 |
| Beaumont, TXTexas | — | $300.86 |
| Brazoria, TXTexas | — | $299.25 |
| Dallas, TXTexas | — | $303.36 |
| Fort Worth, TXTexas | — | $303.52 |
| Galveston, TXTexas | — | $301.60 |
| Houston, TXTexas | — | $327.41 |
| Rest of TexasTexas | — | $301.41 |
| UtahUtah | — | $300.76 |
| VirginiaVirginia | — | $293.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $308.08 |
| VermontVermont | — | $284.57 |
| Rest of WashingtonWashington | — | $302.25 |
| King County, WAWashington | — | $320.77 |
| WisconsinWisconsin | — | $273.79 |
| West VirginiaWest Virginia | — | $322.64 |
| WyomingWyoming | — | $296.05 |
33947 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33947 rate is calculated
Each of 33947’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.
How the rate is built · 33947
RVUs × geographic indexes × conversion factor
Work6.46
6.46 RVUs× 1.000 GPCI
Practice expense1.36
1.36 RVUs× 1.000 GPCI
Malpractice1.41
1.41 RVUs× 1.000 GPCI
Adjusted RVUs
9.2300
Conversion factor
$33.4009
Medicare rate
$308.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,133
- Code
- 33947
- Physician work
- 6.46
- Practice expense
- 1.36
- Malpractice
- 1.41
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.46 | × 1.000 | 6.4600 |
| Practice expense | 1.36 | × 0.920 | 1.2512 |
| Malpractice | 1.41 | × 0.473 | 0.6669 |
| Total RVUs | 8.3781 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$279.84
Facility: (6.46 × 1 + 1.36 × 0.92 + 1.41 × 0.473) × $33.4009 = $279.84
Payment rules and modifiers for 33947
33947 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.
Place of service · 33947
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
33947 isn’t priced in this setting.
How 33947 has changed in Idaho
33947 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $279.84 | RVU26D |
| 2026-07-01 | Not available in this setting | $279.84 | RVU26C |
| 2026-04-01 | Not available in this setting | $279.84 | RVU26B |
| 2026-01-01 | Not available in this setting | $279.84 | RVU26A |
| 2025-10-01 | Not available in this setting | $295.11 | RVU25D |
| 2025-07-01 | Not available in this setting | $295.11 | RVU25C |
| 2025-04-01 | Not available in this setting | $295.11 | RVU25B |
| 2025-01-01 | Not available in this setting | $295.11 | RVU25A |
| 2024-10-01 | Not available in this setting | $302.34 | RVU24D |
| 2024-07-01 | Not available in this setting | $302.34 | RVU24C |
| 2024-04-01 | Not available in this setting | $302.34 | RVU24B |
| 2024-03-09 | Not available in this setting | $302.34 | RVU24AR |
| 2024-01-01 | Not available in this setting | $297.40 | RVU24A |
| 2023-10-01 | Not available in this setting | $305.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $305.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $305.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $305.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $310.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $310.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $310.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $310.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $313.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $313.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $313.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $313.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $324.70 | RVU20D |
| 2020-07-01 | Not available in this setting | $324.70 | RVU20C |
| 2020-04-01 | Not available in this setting | $324.70 | RVU20B |
| 2020-01-01 | Not available in this setting | $324.70 | RVU20A |
| 2019-10-01 | Not available in this setting | $327.70 | RVU19D |
| 2019-07-01 | Not available in this setting | $327.70 | RVU19C |
| 2019-04-01 | Not available in this setting | $327.70 | RVU19B |
| 2019-01-01 | Not available in this setting | $327.70 | RVU19A |
| 2018-10-01 | Not available in this setting | $327.85 | RVU18D |
| 2018-07-01 | Not available in this setting | $327.85 | RVU18C |
| 2018-04-01 | Not available in this setting | $327.85 | RVU18B |
| 2018-01-01 | Not available in this setting | $327.85 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $326.47 | RVU17D |
| 2017-07-01 | Not available in this setting | $326.47 | RVU17C |
| 2017-04-01 | Not available in this setting | $326.47 | RVU17B |
| 2017-01-01 | Not available in this setting | $326.47 | RVU17A |
| 2016-10-01 | Not available in this setting | $323.60 | RVU16D |
| 2016-07-01 | Not available in this setting | $323.60 | RVU16C |
| 2016-04-01 | Not available in this setting | $323.60 | RVU16B |
| 2016-01-01 | Not available in this setting | $323.60 | RVU16A |
| 2015-10-01 | Not available in this setting | $327.21 | RVU15D |
| 2015-07-01 | Not available in this setting | $327.21 | RVU15C |
| 2015-04-01 | Not available in this setting | $325.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $325.58 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
33947 billing questions
When should 33947 be chosen instead of 33946?
Use 33947 for venoarterial ECMO/ECLS initiation, with blood returned to the arterial circulation. Code 33946 describes venovenous initiation.
Is 33947 for daily ECMO management?
No. It represents initiation. Daily management of venoarterial ECMO is represented by 33949.
Can cannula insertion be reported separately?
ECMO cannula insertion has separate codes, including codes for peripheral and central cannula placement. Document the cannulation work and site to support the applicable insertion code.
What documentation supports 33947?
Document the indication for extracorporeal support, the venoarterial configuration, and the physician’s work initiating the circuit. Distinguish initiation from subsequent daily management.
Does 33947 describe venovenous support?
No. It describes venoarterial initiation. Venovenous initiation is reported with 33946.
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
Show the CMS file lines behind this rate
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