CPT code 33949: ECMO management, venoarterial support2026 Medicare rate & RVUs in Montana
Reports a physician’s daily management of venoarterial ECMO or ECLS, including clinical oversight of the patient and extracorporeal support circuit.
In Montana, Medicare pays $209.04 for 33949 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33949 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 33949 covers
Code 33949 represents a physician’s daily management of venoarterial extracorporeal membrane oxygenation or extracorporeal life support. This support configuration returns oxygenated blood to the arterial circulation and may be used for severe cardiac or combined cardiopulmonary failure. Management typically occurs in an intensive care setting while the patient remains on support, with physician involvement from specialties such as critical care or cardiothoracic surgery.
Report the service for each date on which the physician provides the daily management, rather than for ECMO initiation or a cannula procedure. The record should support the physician’s assessment of the patient and circuit, management decisions, and any adjustments made to the support plan. Select this code for venoarterial support; the parallel daily-management code 33948 is for venovenous support.
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 Montana compares for 33949
Across 109 of 109 payment localities, the facility rate for 33949 runs from $190.32 in Wisconsin to $275.04 in Alaska. Montana pays $209.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$209.04
- Los Angeles, CA · California$213.06+$4.02
- Washington, DC area · District of Columbia$226.08+$17.04
- Miami, FL · Florida$248.79+$39.75
- Chicago, IL · Illinois$242.75+$33.71
- Manhattan, NY · New York$238.89+$29.85
- Alaska · Alaska$275.04+$66.00
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $193.96 |
| ArkansasArkansas | — | $192.14 |
| ArizonaArizona | — | $204.43 |
| Bakersfield, CACalifornia | — | $205.41 |
| Chico, CACalifornia | — | $203.29 |
| El Centro, CACalifornia | — | $203.41 |
| Fresno, CACalifornia | — | $203.29 |
| Hanford, CACalifornia | — | $203.29 |
| Madera, CACalifornia | — | $203.29 |
| Merced, CACalifornia | — | $203.29 |
| Modesto, CACalifornia | — | $203.29 |
| Napa, CACalifornia | — | $217.05 |
| Oxnard, CACalifornia | — | $210.05 |
| Redding, CACalifornia | — | $203.29 |
| Rest of CaliforniaCalifornia | — | $203.29 |
| Riverside, CACalifornia | — | $211.38 |
| Sacramento, CACalifornia | — | $208.42 |
| Salinas, CACalifornia | — | $207.53 |
| San Diego, CACalifornia | — | $208.79 |
| Marin County, CACalifornia | — | $223.75 |
| San Francisco, CACalifornia | — | $222.90 |
| San Benito County, CACalifornia | — | $229.02 |
| Santa Clara County, CACalifornia | — | $225.54 |
| San Luis Obispo, CACalifornia | — | $204.75 |
| Santa Cruz, CACalifornia | — | $207.94 |
| Santa Maria, CACalifornia | — | $207.32 |
| Santa Rosa, CACalifornia | — | $209.73 |
| Stockton, CACalifornia | — | $203.29 |
| Vallejo, CACalifornia | — | $215.82 |
| Visalia, CACalifornia | — | $203.29 |
| Yuba City, CACalifornia | — | $203.29 |
| ColoradoColorado | — | $207.58 |
| ConnecticutConnecticut | — | $219.97 |
| DelawareDelaware | — | $206.90 |
| Fort Lauderdale, FLFlorida | — | $229.77 |
| Rest of FloridaFlorida | — | $220.19 |
| Atlanta, GAGeorgia | — | $215.12 |
| Rest of GeorgiaGeorgia | — | $210.22 |
| Hawaii, Guam, HIHawaii | — | $203.21 |
| IowaIowa | — | $191.09 |
| IdahoIdaho | — | $193.16 |
| East St. Louis, ILIllinois | — | $231.77 |
| Rest of IllinoisIllinois | — | $220.23 |
| Suburban Chicago, ILIllinois | — | $230.40 |
| IndianaIndiana | — | $193.73 |
| KansasKansas | — | $193.39 |
| KentuckyKentucky | — | $203.18 |
| New Orleans, LALouisiana | — | $210.49 |
| Rest of LouisianaLouisiana | — | $204.12 |
| Metropolitan Boston, MAMassachusetts | — | $219.09 |
| Rest of MassachusettsMassachusetts | — | $208.21 |
| Baltimore area, MDMaryland | — | $219.91 |
| Rest of MarylandMaryland | — | $208.94 |
| Rest of MaineMaine | — | $196.89 |
| Southern Maine, MEMaine | — | $199.54 |
| Detroit, MIMichigan | — | $225.08 |
| Rest of MichiganMichigan | — | $209.36 |
| MinnesotaMinnesota | — | $192.44 |
| Metropolitan Kansas City, MOMissouri | — | $206.44 |
| Metropolitan St. Louis, MOMissouri | — | $207.50 |
| Rest of MissouriMissouri | — | $203.74 |
| MississippiMississippi | — | $197.82 |
| North CarolinaNorth Carolina | — | $197.76 |
| North DakotaNorth Dakota | — | $194.21 |
| NebraskaNebraska | — | $190.88 |
| New HampshireNew Hampshire | — | $207.36 |
| Northern New JerseyNew Jersey | — | $225.69 |
| Rest of New JerseyNew Jersey | — | $220.65 |
| New MexicoNew Mexico | — | $211.30 |
| NevadaNevada | — | $204.94 |
| NYC suburbs and Long Island, NYNew York | — | $246.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $224.34 |
| Queens, NYNew York | — | $235.96 |
| Rest of New YorkNew York | — | $199.95 |
| OhioOhio | — | $206.33 |
| OklahomaOklahoma | — | $199.86 |
| Portland, OROregon | — | $208.86 |
| Rest of OregonOregon | — | $201.51 |
| Metropolitan Philadelphia, PAPennsylvania | — | $218.02 |
| Rest of PennsylvaniaPennsylvania | — | $204.92 |
| Puerto RicoPuerto Rico | — | $209.09 |
| Rhode IslandRhode Island | — | $210.36 |
| South CarolinaSouth Carolina | — | $202.74 |
| South DakotaSouth Dakota | — | $192.46 |
| TennesseeTennessee | — | $194.39 |
| Austin, TXTexas | — | $208.51 |
| Beaumont, TXTexas | — | $204.24 |
| Brazoria, TXTexas | — | $204.47 |
| Dallas, TXTexas | — | $206.75 |
| Fort Worth, TXTexas | — | $206.73 |
| Galveston, TXTexas | — | $205.74 |
| Houston, TXTexas | — | $219.47 |
| Rest of TexasTexas | — | $204.92 |
| UtahUtah | — | $204.49 |
| VirginiaVirginia | — | $201.15 |
| Virgin Islands, VIUnited States Virgin Islands | — | $209.09 |
| VermontVermont | — | $196.37 |
| Rest of WashingtonWashington | — | $206.86 |
| King County, WAWashington | — | $219.74 |
| WisconsinWisconsin | — | $190.32 |
| West VirginiaWest Virginia | — | $215.42 |
| WyomingWyoming | — | $202.58 |
33949 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 33949 rate is calculated
Each of 33949’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 · 33949
RVUs × geographic indexes × conversion factor
Work4.49
4.49 RVUs× 1.000 GPCI
Practice expense1.02
1.02 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
6.2600
Conversion factor
$33.4009
Medicare rate
$209.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,135
- Code
- 33949
- Physician work
- 4.49
- Practice expense
- 1.02
- Malpractice
- 0.75
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.000 | 4.4900 |
| Practice expense | 1.02 | × 1.000 | 1.0200 |
| Malpractice | 0.75 | × 0.998 | 0.7485 |
| Total RVUs | 6.2585 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$209.04
Facility: (4.49 × 1 + 1.02 × 1 + 0.75 × 0.998) × $33.4009 = $209.04
Payment rules and modifiers for 33949
33949 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 · 33949
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
33949 isn’t priced in this setting.
How 33949 has changed in Montana
33949 · 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 | $209.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $209.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $209.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $209.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $221.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $221.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $221.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $221.64 | RVU25A |
| 2024-10-01 | Not available in this setting | $226.09 | RVU24D |
| 2024-07-01 | Not available in this setting | $226.09 | RVU24C |
| 2024-04-01 | Not available in this setting | $226.09 | RVU24B |
| 2024-03-09 | Not available in this setting | $226.09 | RVU24AR |
| 2024-01-01 | Not available in this setting | $222.40 | RVU24A |
| 2023-10-01 | Not available in this setting | $228.18 | RVU23D |
| 2023-07-01 | Not available in this setting | $228.18 | RVU23C |
| 2023-04-01 | Not available in this setting | $228.18 | RVU23B |
| 2023-01-01 | Not available in this setting | $228.18 | RVU23A |
| 2022-10-01 | Not available in this setting | $233.67 | RVU22D |
| 2022-07-01 | Not available in this setting | $233.67 | RVU22C |
| 2022-04-01 | Not available in this setting | $233.67 | RVU22B |
| 2022-01-01 | Not available in this setting | $233.67 | RVU22A |
| 2021-10-01 | Not available in this setting | $234.93 | RVU21D |
| 2021-07-01 | Not available in this setting | $234.93 | RVU21C |
| 2021-04-01 | Not available in this setting | $234.93 | RVU21B |
| 2021-01-01 | Not available in this setting | $234.93 | RVU21A |
| 2020-10-01 | Not available in this setting | $251.22 | RVU20D |
| 2020-07-01 | Not available in this setting | $251.22 | RVU20C |
| 2020-04-01 | Not available in this setting | $251.22 | RVU20B |
| 2020-01-01 | Not available in this setting | $251.22 | RVU20A |
| 2019-10-01 | Not available in this setting | $259.92 | RVU19D |
| 2019-07-01 | Not available in this setting | $259.92 | RVU19C |
| 2019-04-01 | Not available in this setting | $259.92 | RVU19B |
| 2019-01-01 | Not available in this setting | $259.92 | RVU19A |
| 2018-10-01 | Not available in this setting | $260.22 | RVU18D |
| 2018-07-01 | Not available in this setting | $260.22 | RVU18C |
| 2018-04-01 | Not available in this setting | $260.22 | RVU18B |
| 2018-01-01 | Not available in this setting | $260.22 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $256.51 | RVU17D |
| 2017-07-01 | Not available in this setting | $256.51 | RVU17C |
| 2017-04-01 | Not available in this setting | $256.51 | RVU17B |
| 2017-01-01 | Not available in this setting | $256.51 | RVU17A |
| 2016-10-01 | Not available in this setting | $251.46 | RVU16D |
| 2016-07-01 | Not available in this setting | $251.46 | RVU16C |
| 2016-04-01 | Not available in this setting | $251.46 | RVU16B |
| 2016-01-01 | Not available in this setting | $251.46 | RVU16A |
| 2015-10-01 | Not available in this setting | $254.96 | RVU15D |
| 2015-07-01 | Not available in this setting | $254.96 | RVU15C |
| 2015-04-01 | Not available in this setting | $253.69 | RVU15B |
| 2015-01-01 | Not available in this setting | $253.69 | 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 Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
33949 billing questions
How does 33949 differ from 33948?
Use 33949 for venoarterial ECMO/ECLS daily management. Code 33948 is the corresponding daily-management service for venovenous support.
Is 33949 the code for starting ECMO?
No. It describes daily management after support is in use; 33947 describes initiation of venoarterial ECMO/ECLS.
Can 33949 be reported for cannula insertion or repositioning?
No. It represents daily management, not a cannula procedure. Use the applicable procedure code when insertion or repositioning is performed and documented.
How often is 33949 reported?
It represents daily management, so report it for each date the physician provides that service. Documentation should establish the physician’s work on that date.
What documentation supports 33949?
Document that the patient is receiving venoarterial ECMO/ECLS and the physician’s daily assessment and management of the patient and support circuit.
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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