CPT code 33951: ECMO cannulation, percutaneous, age 5 or older2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $388.82 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.

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 Puerto Rico 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. Puerto Rico pays $388.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33951 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 33951 in every payment locality

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.

Payment rules and modifiers for 33951

The CMS indicators that decide how 33951 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33951

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33951 has changed in Puerto Rico

Price 33951 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates