CPT code 33948: ECMO management, venovenous support2026 Medicare rate & RVUs in Mississippi
Report this service for a physician’s ongoing daily management of venovenous ECMO supporting a patient with severe respiratory failure.
In Mississippi, Medicare pays $205.03 for 33948 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33948 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 33948 covers
This service covers a physician’s ongoing management of venovenous extracorporeal membrane oxygenation or extracorporeal life support. Venovenous support drains blood from and returns it to the venous circulation, typically to provide oxygenation and carbon dioxide removal in severe respiratory failure. Intensivists, cardiothoracic surgeons, and other physicians directing ECMO care may perform this work in an intensive care setting. Management may include assessing the patient’s response, reviewing circuit function and relevant clinical data, and directing changes to support settings or treatment.
Report 33948 for a date on which the physician provides daily management while venovenous support is ongoing; it is not the code for starting support or placing cannulas. Documentation should identify the venovenous configuration and date, and describe the physician’s management work, such as assessment of the patient and circuit and decisions about continued support or adjustments. The service is distinct in purpose from the initial setup and cannulation procedures.
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 Mississippi compares for 33948
Across 109 of 109 payment localities, the facility rate for 33948 runs from $196.87 in Wisconsin to $284.29 in Alaska. Mississippi pays $205.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$205.03
- Los Angeles, CA · California$220.93+$15.90
- Washington, DC area · District of Columbia$234.90+$29.87
- Miami, FL · Florida$259.95+$54.92
- Chicago, IL · Illinois$253.40+$48.37
- Manhattan, NY · New York$248.66+$43.63
- Alaska · Alaska$284.29+$79.26
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $200.85 |
| ArkansasArkansas | — | $198.90 |
| ArizonaArizona | — | $212.09 |
| Bakersfield, CACalifornia | — | $212.92 |
| Chico, CACalifornia | — | $210.63 |
| El Centro, CACalifornia | — | $210.77 |
| Fresno, CACalifornia | — | $210.63 |
| Hanford, CACalifornia | — | $210.63 |
| Madera, CACalifornia | — | $210.63 |
| Merced, CACalifornia | — | $210.63 |
| Modesto, CACalifornia | — | $210.63 |
| Napa, CACalifornia | — | $224.97 |
| Oxnard, CACalifornia | — | $217.78 |
| Redding, CACalifornia | — | $210.63 |
| Rest of CaliforniaCalifornia | — | $210.63 |
| Riverside, CACalifornia | — | $219.36 |
| Sacramento, CACalifornia | — | $215.98 |
| Salinas, CACalifornia | — | $215.06 |
| San Diego, CACalifornia | — | $216.40 |
| Marin County, CACalifornia | — | $231.89 |
| San Francisco, CACalifornia | — | $230.97 |
| San Benito County, CACalifornia | — | $237.43 |
| Santa Clara County, CACalifornia | — | $233.67 |
| San Luis Obispo, CACalifornia | — | $212.18 |
| Santa Cruz, CACalifornia | — | $215.54 |
| Santa Maria, CACalifornia | — | $214.85 |
| Santa Rosa, CACalifornia | — | $217.40 |
| Stockton, CACalifornia | — | $210.63 |
| Vallejo, CACalifornia | — | $223.64 |
| Visalia, CACalifornia | — | $210.63 |
| Yuba City, CACalifornia | — | $210.63 |
| ColoradoColorado | — | $215.34 |
| ConnecticutConnecticut | — | $228.64 |
| DelawareDelaware | — | $214.71 |
| Fort Lauderdale, FLFlorida | — | $239.44 |
| Rest of FloridaFlorida | — | $229.13 |
| Atlanta, GAGeorgia | — | $223.58 |
| Rest of GeorgiaGeorgia | — | $218.40 |
| Hawaii, Guam, HIHawaii | — | $210.66 |
| IowaIowa | — | $197.73 |
| IdahoIdaho | — | $199.96 |
| East St. Louis, ILIllinois | — | $241.65 |
| Rest of IllinoisIllinois | — | $229.20 |
| Suburban Chicago, ILIllinois | — | $240.04 |
| IndianaIndiana | — | $200.57 |
| KansasKansas | — | $200.22 |
| KentuckyKentucky | — | $210.80 |
| New Orleans, LALouisiana | — | $218.66 |
| Rest of LouisianaLouisiana | — | $211.82 |
| Metropolitan Boston, MAMassachusetts | — | $227.44 |
| Rest of MassachusettsMassachusetts | — | $215.99 |
| Baltimore area, MDMaryland | — | $228.61 |
| Rest of MarylandMaryland | — | $216.86 |
| Rest of MaineMaine | — | $203.99 |
| Southern Maine, MEMaine | — | $206.80 |
| Detroit, MIMichigan | — | $234.40 |
| Rest of MichiganMichigan | — | $217.46 |
| MinnesotaMinnesota | — | $199.11 |
| Metropolitan Kansas City, MOMissouri | — | $214.28 |
| Metropolitan St. Louis, MOMissouri | — | $215.43 |
| Rest of MissouriMissouri | — | $211.42 |
| MontanaMontana | — | $217.05 |
| North CarolinaNorth Carolina | — | $204.92 |
| North DakotaNorth Dakota | — | $201.04 |
| NebraskaNebraska | — | $197.50 |
| New HampshireNew Hampshire | — | $215.20 |
| Northern New JerseyNew Jersey | — | $234.42 |
| Rest of New JerseyNew Jersey | — | $229.21 |
| New MexicoNew Mexico | — | $219.55 |
| NevadaNevada | — | $212.62 |
| NYC suburbs and Long Island, NYNew York | — | $256.96 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $233.14 |
| Queens, NYNew York | — | $245.48 |
| Rest of New YorkNew York | — | $207.27 |
| OhioOhio | — | $214.18 |
| OklahomaOklahoma | — | $207.21 |
| Portland, OROregon | — | $216.65 |
| Rest of OregonOregon | — | $208.93 |
| Metropolitan Philadelphia, PAPennsylvania | — | $226.58 |
| Rest of PennsylvaniaPennsylvania | — | $212.66 |
| Puerto RicoPuerto Rico | — | $217.10 |
| Rhode IslandRhode Island | — | $218.30 |
| South CarolinaSouth Carolina | — | $210.31 |
| South DakotaSouth Dakota | — | $199.14 |
| TennesseeTennessee | — | $201.30 |
| Austin, TXTexas | — | $216.42 |
| Beaumont, TXTexas | — | $211.94 |
| Brazoria, TXTexas | — | $212.06 |
| Dallas, TXTexas | — | $214.51 |
| Fort Worth, TXTexas | — | $214.50 |
| Galveston, TXTexas | — | $213.43 |
| Houston, TXTexas | — | $228.26 |
| Rest of TexasTexas | — | $212.64 |
| UtahUtah | — | $212.18 |
| VirginiaVirginia | — | $208.54 |
| Virgin Islands, VIUnited States Virgin Islands | — | $217.10 |
| VermontVermont | — | $203.38 |
| Rest of WashingtonWashington | — | $214.55 |
| King County, WAWashington | — | $228.04 |
| WisconsinWisconsin | — | $196.87 |
| West VirginiaWest Virginia | — | $224.04 |
| WyomingWyoming | — | $210.07 |
33948 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 33948 rate is calculated
Each of 33948’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 · 33948
RVUs × geographic indexes × conversion factor
Work4.61
4.61 RVUs× 1.000 GPCI
Practice expense1.08
1.08 RVUs× 1.000 GPCI
Malpractice0.81
0.81 RVUs× 1.000 GPCI
Adjusted RVUs
6.5000
Conversion factor
$33.4009
Medicare rate
$217.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,134
- Code
- 33948
- Physician work
- 4.61
- Practice expense
- 1.08
- Malpractice
- 0.81
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.61 | × 1.000 | 4.6100 |
| Practice expense | 1.08 | × 0.861 | 0.9299 |
| Malpractice | 0.81 | × 0.739 | 0.5986 |
| Total RVUs | 6.1385 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$205.03
Facility: (4.61 × 1 + 1.08 × 0.861 + 0.81 × 0.739) × $33.4009 = $205.03
Payment rules and modifiers for 33948
33948 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 · 33948
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
33948 isn’t priced in this setting.
How 33948 has changed in Mississippi
33948 · 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 | $205.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $205.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $205.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $205.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $214.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $214.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $214.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $214.41 | RVU25A |
| 2024-10-01 | Not available in this setting | $218.74 | RVU24D |
| 2024-07-01 | Not available in this setting | $218.74 | RVU24C |
| 2024-04-01 | Not available in this setting | $218.74 | RVU24B |
| 2024-03-09 | Not available in this setting | $218.74 | RVU24AR |
| 2024-01-01 | Not available in this setting | $215.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $220.89 | RVU23D |
| 2023-07-01 | Not available in this setting | $220.89 | RVU23C |
| 2023-04-01 | Not available in this setting | $220.89 | RVU23B |
| 2023-01-01 | Not available in this setting | $220.89 | RVU23A |
| 2022-10-01 | Not available in this setting | $224.69 | RVU22D |
| 2022-07-01 | Not available in this setting | $224.69 | RVU22C |
| 2022-04-01 | Not available in this setting | $224.69 | RVU22B |
| 2022-01-01 | Not available in this setting | $224.69 | RVU22A |
| 2021-10-01 | Not available in this setting | $226.38 | RVU21D |
| 2021-07-01 | Not available in this setting | $226.38 | RVU21C |
| 2021-04-01 | Not available in this setting | $226.38 | RVU21B |
| 2021-01-01 | Not available in this setting | $226.38 | RVU21A |
| 2020-10-01 | Not available in this setting | $229.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $229.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $229.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $229.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $225.48 | RVU19D |
| 2019-07-01 | Not available in this setting | $225.48 | RVU19C |
| 2019-04-01 | Not available in this setting | $225.48 | RVU19B |
| 2019-01-01 | Not available in this setting | $225.48 | RVU19A |
| 2018-10-01 | Not available in this setting | $225.81 | RVU18D |
| 2018-07-01 | Not available in this setting | $225.81 | RVU18C |
| 2018-04-01 | Not available in this setting | $225.81 | RVU18B |
| 2018-01-01 | Not available in this setting | $225.81 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $228.29 | RVU17D |
| 2017-07-01 | Not available in this setting | $228.29 | RVU17C |
| 2017-04-01 | Not available in this setting | $228.29 | RVU17B |
| 2017-01-01 | Not available in this setting | $228.29 | RVU17A |
| 2016-10-01 | Not available in this setting | $233.05 | RVU16D |
| 2016-07-01 | Not available in this setting | $233.05 | RVU16C |
| 2016-04-01 | Not available in this setting | $233.05 | RVU16B |
| 2016-01-01 | Not available in this setting | $233.05 | RVU16A |
| 2015-10-01 | Not available in this setting | $235.97 | RVU15D |
| 2015-07-01 | Not available in this setting | $235.97 | RVU15C |
| 2015-04-01 | Not available in this setting | $234.80 | RVU15B |
| 2015-01-01 | Not available in this setting | $234.80 | 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 Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
33948 billing questions
How does 33948 differ from 33946?
33946 describes initiation of venovenous ECMO/ECLS. Use 33948 for the physician’s ongoing daily management after support has been initiated.
When should 33949 be used instead?
33949 is for daily management of arterial ECMO/ECLS. Select 33948 when the support configuration is venovenous.
Does 33948 include cannula placement?
No. The daily management service concerns ongoing physician oversight; cannula insertion is described by separate cannulation codes when that procedure is performed.
How often is 33948 reported?
It represents daily management, so documentation should support the physician’s work for the date reported rather than counting individual circuit adjustments as separate services.
What documentation supports 33948?
Document the venovenous configuration, date of management, patient and circuit assessment, and the physician’s decisions or direction regarding ongoing ECMO support.
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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