CPT code 33947: ECMO initiation, venoarterial configuration2026 Medicare rate & RVUs in Indiana

Reports physician initiation of venoarterial ECMO/ECLS to provide circulatory and respiratory support in severe cardiac or cardiopulmonary failure.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Indiana, Medicare pays $280.77 for 33947 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$280.77Hospital or facility

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.

We’ll open 33947 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 33947 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Indiana 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. Indiana pays $280.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

33947 in Indiana vs other payment areas
  1. Indiana · this page$280.77
  2. Los Angeles, CA · California$309.63+$28.86
  3. Washington, DC area · District of Columbia$333.35+$52.58
  4. Miami, FL · Florida$382.16+$101.39
  5. Chicago, IL · Illinois$371.02+$90.25
  6. Manhattan, NY · New York$357.06+$76.29
  7. Alaska · Alaska$397.98+$117.21

Other areas in Indiana first, then benchmark localities. Bars start at $0.

Every other payment area

33947 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
33947 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33947 in every payment locality

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

Office or facility?

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 Indiana 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

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 33947 in Indiana
ComponentRVULocality factorAdjusted
Physician work6.46× 1.0006.4600
Practice expense1.36× 0.9271.2607
Malpractice1.41× 0.4860.6853
Total RVUs8.4060
Conversion factor× 33.4009

Facility rate, Indiana$280.77

Facility: (6.46 × 1 + 1.36 × 0.927 + 1.41 × 0.486) × $33.4009 = $280.77

Open 33947 in the RVU calculator

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 Indiana

33947 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. 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.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$280.77RVU26D
2026-07-01Not available in this setting$280.77RVU26C
2026-04-01Not available in this setting$280.77RVU26B
2026-01-01Not available in this setting$280.77RVU26A
2025-10-01Not available in this setting$297.15RVU25D
2025-07-01Not available in this setting$297.15RVU25C
2025-04-01Not available in this setting$297.15RVU25B
2025-01-01Not available in this setting$297.15RVU25A
2024-10-01Not available in this setting$304.41RVU24D
2024-07-01Not available in this setting$304.41RVU24C
2024-04-01Not available in this setting$304.41RVU24B
2024-03-09Not available in this setting$304.41RVU24AR
2024-01-01Not available in this setting$299.44RVU24A
2023-10-01Not available in this setting$308.48RVU23D
2023-07-01Not available in this setting$308.48RVU23C
2023-04-01Not available in this setting$308.48RVU23B
2023-01-01Not available in this setting$308.48RVU23A
2022-10-01Not available in this setting$314.42RVU22D
2022-07-01Not available in this setting$314.42RVU22C
2022-04-01Not available in this setting$314.42RVU22B
2022-01-01Not available in this setting$314.42RVU22A
2021-10-01Not available in this setting$317.03RVU21D
2021-07-01Not available in this setting$317.03RVU21C
2021-04-01Not available in this setting$317.03RVU21B
2021-01-01Not available in this setting$317.03RVU21A
2020-10-01Not available in this setting$324.00RVU20D
2020-07-01Not available in this setting$324.00RVU20C
2020-04-01Not available in this setting$324.00RVU20B
2020-01-01Not available in this setting$324.00RVU20A
2019-10-01Not available in this setting$322.12RVU19D
2019-07-01Not available in this setting$322.12RVU19C
2019-04-01Not available in this setting$322.12RVU19B
2019-01-01Not available in this setting$322.12RVU19A
2018-10-01Not available in this setting$322.23RVU18D
2018-07-01Not available in this setting$322.23RVU18C
2018-04-01Not available in this setting$322.23RVU18B
2018-01-01Not available in this setting$322.23RVU18AR1
2017-10-01Not available in this setting$327.29RVU17D
2017-07-01Not available in this setting$327.29RVU17C
2017-04-01Not available in this setting$327.29RVU17B
2017-01-01Not available in this setting$327.29RVU17A
2016-10-01Not available in this setting$330.07RVU16D
2016-07-01Not available in this setting$330.07RVU16C
2016-04-01Not available in this setting$330.07RVU16B
2016-01-01Not available in this setting$330.07RVU16A
2015-10-01Not available in this setting$333.80RVU15D
2015-07-01Not available in this setting$333.80RVU15C
2015-04-01Not available in this setting$332.14RVU15B
2015-01-01Not available in this setting$332.14RVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 33947 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

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
RVUs for 33947PPRRVU2026_Oct_nonQPP.csv, line 4,133 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33947 pays in Indiana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 33947 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet