CPT code 33951: ECMO cannulation, percutaneous, age 5 or older2026 Medicare rate & RVUs in Alabama
Reports percutaneous placement of peripheral ECMO/ECLS cannulae for patients age five or older, such as femoral vascular access for extracorporeal support.
In Alabama, Medicare pays $353.96 for 33951 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33951 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 33951 covers
This service covers percutaneous placement of cannulae in peripheral vessels to establish extracorporeal membrane oxygenation or extracorporeal life support. It is used when a patient needs temporary circulatory or respiratory support, including situations requiring peripheral access such as femoral cannulation. Cardiothoracic and other surgeons who perform ECMO access procedures commonly provide the service in a hospital setting. The age threshold for this code is five years or older.
Select this code when the cannulae are placed percutaneously in peripheral vessels; use a different code when the patient is younger or the access is open or central. The operative record should identify the access approach, peripheral site, cannula placement, and patient age. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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 Alabama compares for 33951
Across 109 of 109 payment localities, the facility rate for 33951 runs from $342.46 in Wisconsin to $497.13 in Alaska. Alabama pays $353.96. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$353.96
- Los Angeles, CA · California$389.51+$35.55
- Washington, DC area · District of Columbia$421.31+$67.35
- Miami, FL · Florida$489.12+$135.16
- Chicago, IL · Illinois$473.89+$119.93
- Manhattan, NY · New York$453.18+$99.22
- Alaska · Alaska$497.13+$143.17
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $349.75 |
| ArizonaArizona | — | $378.08 |
| Bakersfield, CACalifornia | — | $374.96 |
| Chico, CACalifornia | — | $369.77 |
| El Centro, CACalifornia | — | $370.09 |
| Fresno, CACalifornia | — | $369.77 |
| Hanford, CACalifornia | — | $369.77 |
| Madera, CACalifornia | — | $369.77 |
| Merced, CACalifornia | — | $369.77 |
| Modesto, CACalifornia | — | $369.77 |
| Napa, CACalifornia | — | $393.47 |
| Oxnard, CACalifornia | — | $383.39 |
| Redding, CACalifornia | — | $369.77 |
| Rest of CaliforniaCalifornia | — | $369.77 |
| Riverside, CACalifornia | — | $390.26 |
| Sacramento, CACalifornia | — | $378.82 |
| Salinas, CACalifornia | — | $377.26 |
| San Diego, CACalifornia | — | $379.59 |
| Marin County, CACalifornia | — | $404.35 |
| San Francisco, CACalifornia | — | $402.18 |
| San Benito County, CACalifornia | — | $415.15 |
| Santa Clara County, CACalifornia | — | $406.29 |
| San Luis Obispo, CACalifornia | — | $372.34 |
| Santa Cruz, CACalifornia | — | $377.95 |
| Santa Maria, CACalifornia | — | $376.88 |
| Santa Rosa, CACalifornia | — | $381.12 |
| Stockton, CACalifornia | — | $369.77 |
| Vallejo, CACalifornia | — | $390.35 |
| Visalia, CACalifornia | — | $369.77 |
| Yuba City, CACalifornia | — | $369.77 |
| ColoradoColorado | — | $382.16 |
| ConnecticutConnecticut | — | $412.43 |
| DelawareDelaware | — | $383.29 |
| Fort Lauderdale, FLFlorida | — | $441.44 |
| Rest of FloridaFlorida | — | $418.58 |
| Atlanta, GAGeorgia | — | $403.70 |
| Rest of GeorgiaGeorgia | — | $394.91 |
| Hawaii, Guam, HIHawaii | — | $370.45 |
| IowaIowa | — | $345.57 |
| IdahoIdaho | — | $350.72 |
| East St. Louis, ILIllinois | — | $449.03 |
| Rest of IllinoisIllinois | — | $419.84 |
| Suburban Chicago, ILIllinois | — | $441.84 |
| IndianaIndiana | — | $351.96 |
| KansasKansas | — | $351.74 |
| KentuckyKentucky | — | $377.06 |
| New Orleans, LALouisiana | — | $394.27 |
| Rest of LouisianaLouisiana | — | $379.57 |
| Metropolitan Boston, MAMassachusetts | — | $404.59 |
| Rest of MassachusettsMassachusetts | — | $383.59 |
| Baltimore area, MDMaryland | — | $412.85 |
| Rest of MarylandMaryland | — | $387.26 |
| Rest of MaineMaine | — | $360.22 |
| Southern Maine, MEMaine | — | $365.04 |
| Detroit, MIMichigan | — | $430.79 |
| Rest of MichiganMichigan | — | $392.15 |
| MinnesotaMinnesota | — | $345.94 |
| Metropolitan Kansas City, MOMissouri | — | $384.01 |
| Metropolitan St. Louis, MOMissouri | — | $386.38 |
| Rest of MissouriMissouri | — | $379.21 |
| MississippiMississippi | — | $364.16 |
| MontanaMontana | — | $388.99 |
| North CarolinaNorth Carolina | — | $362.08 |
| North DakotaNorth Dakota | — | $351.23 |
| NebraskaNebraska | — | $344.84 |
| New HampshireNew Hampshire | — | $383.60 |
| Northern New JerseyNew Jersey | — | $419.75 |
| Rest of New JerseyNew Jersey | — | $411.43 |
| New MexicoNew Mexico | — | $396.98 |
| NevadaNevada | — | $378.53 |
| NYC suburbs and Long Island, NYNew York | — | $472.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $420.15 |
| Queens, NYNew York | — | $445.19 |
| Rest of New YorkNew York | — | $367.18 |
| OhioOhio | — | $384.43 |
| OklahomaOklahoma | — | $368.50 |
| Portland, OROregon | — | $383.67 |
| Rest of OregonOregon | — | $369.93 |
| Metropolitan Philadelphia, PAPennsylvania | — | $408.66 |
| Rest of PennsylvaniaPennsylvania | — | $380.71 |
| Puerto RicoPuerto Rico | — | $388.82 |
| Rhode IslandRhode Island | — | $389.25 |
| South CarolinaSouth Carolina | — | $375.01 |
| South DakotaSouth Dakota | — | $346.76 |
| TennesseeTennessee | — | $354.14 |
| Austin, TXTexas | — | $385.85 |
| Beaumont, TXTexas | — | $379.21 |
| Brazoria, TXTexas | — | $376.67 |
| Dallas, TXTexas | — | $382.21 |
| Fort Worth, TXTexas | — | $382.44 |
| Galveston, TXTexas | — | $379.85 |
| Houston, TXTexas | — | $414.81 |
| Rest of TexasTexas | — | $379.88 |
| UtahUtah | — | $379.03 |
| VirginiaVirginia | — | $369.35 |
| Virgin Islands, VIUnited States Virgin Islands | — | $388.82 |
| VermontVermont | — | $357.01 |
| Rest of WashingtonWashington | — | $380.49 |
| King County, WAWashington | — | $404.29 |
| WisconsinWisconsin | — | $342.46 |
| West VirginiaWest Virginia | — | $408.78 |
| WyomingWyoming | — | $372.53 |
33951 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 33951 rate is calculated
Each of 33951’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 · 33951
RVUs × geographic indexes × conversion factor
Work7.95
7.95 RVUs× 1.000 GPCI
Practice expense1.79
1.79 RVUs× 1.000 GPCI
Malpractice1.91
1.91 RVUs× 1.000 GPCI
Adjusted RVUs
11.6500
Conversion factor
$33.4009
Medicare rate
$389.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,137
- Code
- 33951
- Physician work
- 7.95
- Practice expense
- 1.79
- Malpractice
- 1.91
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.95 | × 1.000 | 7.9500 |
| Practice expense | 1.79 | × 0.875 | 1.5663 |
| Malpractice | 1.91 | × 0.566 | 1.0811 |
| Total RVUs | 10.5973 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$353.96
Facility: (7.95 × 1 + 1.79 × 0.875 + 1.91 × 0.566) × $33.4009 = $353.96
Payment rules and modifiers for 33951
The CMS indicators that decide how 33951 is paid alongside other services.
CMS payment indicators · 33951
ECMO cannulation, percutaneous, age 5 or older
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33951 without 51 · national facility
$389.12
ECMO cannulation, percutaneous, age 5 or older
33951-51 · Second procedure: 50%
$194.56
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33951 has changed in Alabama
33951 · 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 | $353.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $353.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $353.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $353.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $364.83 | RVU25D |
| 2025-07-01 | Not available in this setting | $364.83 | RVU25C |
| 2025-04-01 | Not available in this setting | $364.83 | RVU25B |
| 2025-01-01 | Not available in this setting | $364.83 | RVU25A |
| 2024-10-01 | Not available in this setting | $373.33 | RVU24D |
| 2024-07-01 | Not available in this setting | $373.33 | RVU24C |
| 2024-04-01 | Not available in this setting | $373.33 | RVU24B |
| 2024-03-09 | Not available in this setting | $373.33 | RVU24AR |
| 2024-01-01 | Not available in this setting | $367.23 | RVU24A |
| 2023-10-01 | Not available in this setting | $392.99 | RVU23D |
| 2023-07-01 | Not available in this setting | $392.99 | RVU23C |
| 2023-04-01 | Not available in this setting | $392.99 | RVU23B |
| 2023-01-01 | Not available in this setting | $392.99 | RVU23A |
| 2022-10-01 | Not available in this setting | $415.13 | RVU22D |
| 2022-07-01 | Not available in this setting | $415.13 | RVU22C |
| 2022-04-01 | Not available in this setting | $415.13 | RVU22B |
| 2022-01-01 | Not available in this setting | $415.13 | RVU22A |
| 2021-10-01 | Not available in this setting | $416.63 | RVU21D |
| 2021-07-01 | Not available in this setting | $416.63 | RVU21C |
| 2021-04-01 | Not available in this setting | $416.63 | RVU21B |
| 2021-01-01 | Not available in this setting | $416.63 | RVU21A |
| 2020-10-01 | Not available in this setting | $415.51 | RVU20D |
| 2020-07-01 | Not available in this setting | $415.51 | RVU20C |
| 2020-04-01 | Not available in this setting | $415.51 | RVU20B |
| 2020-01-01 | Not available in this setting | $415.51 | RVU20A |
| 2019-10-01 | Not available in this setting | $402.00 | RVU19D |
| 2019-07-01 | Not available in this setting | $402.00 | RVU19C |
| 2019-04-01 | Not available in this setting | $402.00 | RVU19B |
| 2019-01-01 | Not available in this setting | $402.00 | RVU19A |
| 2018-10-01 | Not available in this setting | $401.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $401.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $401.84 | RVU18B |
| 2018-01-01 | Not available in this setting | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Not available in this setting | Rate data unavailable | RVU17D |
| 2017-07-01 | Not available in this setting | Rate data unavailable | RVU17C |
| 2017-04-01 | Not available in this setting | Rate data unavailable | RVU17B |
| 2017-01-01 | Not available in this setting | Rate data unavailable | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | 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 Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
33951 billing questions
How does 33951 differ from 33952?
Both describe percutaneous peripheral ECMO/ECLS cannula insertion. Use 33951 for patients age five or older and 33952 for patients younger than five.
When should 33953 be considered instead?
33953 describes open peripheral cannula insertion for patients age five or older. The access technique, rather than the peripheral site alone, distinguishes it from 33951.
Is modifier 50 appropriate for cannulation on both sides?
No. The CMS bilateral adjustment does not apply to 33951, and modifier 50 is inappropriate.
What documentation supports reporting 33951?
Document the patient's age, the peripheral access site, the percutaneous approach, and placement of the cannulae for ECMO/ECLS.
Can an assistant-at-surgery be reported?
Assistant-at-surgery payment is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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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