CPT code 33949: ECMO management, venoarterial support2026 Medicare rate & RVUs in Vermont

Reports a physician’s daily management of venoarterial ECMO or ECLS, including clinical oversight of the patient and extracorporeal support circuit.

CMS RVU26DEffective Oct 1, 2026One payment locality7.2K Medicare services in 2024

In Vermont, Medicare pays $196.37 for 33949 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$196.37Hospital or facility

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.

We’ll open 33949 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 33949 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 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 Vermont 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. Vermont pays $196.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

33949 in Vermont vs other payment areas
  1. Vermont · this page$196.37
  2. Los Angeles, CA · California$213.06+$16.69
  3. Washington, DC area · District of Columbia$226.08+$29.71
  4. Miami, FL · Florida$248.79+$52.42
  5. Chicago, IL · Illinois$242.75+$46.38
  6. Manhattan, NY · New York$238.89+$42.52
  7. Alaska · Alaska$275.04+$78.67

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

Every other payment area

33949 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
33949 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 33949 in every payment locality

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

Office or facility?

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 33949 in Vermont
ComponentRVULocality factorAdjusted
Physician work4.49× 1.0004.4900
Practice expense1.02× 0.9901.0098
Malpractice0.75× 0.5060.3795
Total RVUs5.8793
Conversion factor× 33.4009

Facility rate, Vermont$196.37

Facility: (4.49 × 1 + 1.02 × 0.99 + 0.75 × 0.506) × $33.4009 = $196.37

Open 33949 in the RVU calculator

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 Vermont

33949 · 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$196.37RVU26D
2026-07-01Not available in this setting$196.37RVU26C
2026-04-01Not available in this setting$196.37RVU26B
2026-01-01Not available in this setting$196.37RVU26A
2025-10-01Not available in this setting$209.26RVU25D
2025-07-01Not available in this setting$209.26RVU25C
2025-04-01Not available in this setting$209.26RVU25B
2025-01-01Not available in this setting$209.26RVU25A
2024-10-01Not available in this setting$213.37RVU24D
2024-07-01Not available in this setting$213.37RVU24C
2024-04-01Not available in this setting$213.37RVU24B
2024-03-09Not available in this setting$213.37RVU24AR
2024-01-01Not available in this setting$209.88RVU24A
2023-10-01Not available in this setting$216.98RVU23D
2023-07-01Not available in this setting$216.98RVU23C
2023-04-01Not available in this setting$216.98RVU23B
2023-01-01Not available in this setting$216.98RVU23A
2022-10-01Not available in this setting$222.85RVU22D
2022-07-01Not available in this setting$222.85RVU22C
2022-04-01Not available in this setting$222.85RVU22B
2022-01-01Not available in this setting$222.85RVU22A
2021-10-01Not available in this setting$224.45RVU21D
2021-07-01Not available in this setting$224.45RVU21C
2021-04-01Not available in this setting$224.45RVU21B
2021-01-01Not available in this setting$224.45RVU21A
2020-10-01Not available in this setting$231.81RVU20D
2020-07-01Not available in this setting$231.81RVU20C
2020-04-01Not available in this setting$231.81RVU20B
2020-01-01Not available in this setting$231.81RVU20A
2019-10-01Not available in this setting$231.52RVU19D
2019-07-01Not available in this setting$231.52RVU19C
2019-04-01Not available in this setting$231.52RVU19B
2019-01-01Not available in this setting$231.52RVU19A
2018-10-01Not available in this setting$231.48RVU18D
2018-07-01Not available in this setting$231.48RVU18C
2018-04-01Not available in this setting$231.48RVU18B
2018-01-01Not available in this setting$231.48RVU18AR1
2017-10-01Not available in this setting$234.05RVU17D
2017-07-01Not available in this setting$234.05RVU17C
2017-04-01Not available in this setting$234.05RVU17B
2017-01-01Not available in this setting$234.05RVU17A
2016-10-01Not available in this setting$235.88RVU16D
2016-07-01Not available in this setting$235.88RVU16C
2016-04-01Not available in this setting$235.88RVU16B
2016-01-01Not available in this setting$235.88RVU16A
2015-10-01Not available in this setting$239.14RVU15D
2015-07-01Not available in this setting$239.14RVU15C
2015-04-01Not available in this setting$237.95RVU15B
2015-01-01Not available in this setting$237.95RVU15A
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 33949 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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
RVUs for 33949PPRRVU2026_Oct_nonQPP.csv, line 4,135 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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