CPT code 33952: ECMO cannulation, peripheral, percutaneous, younger than five2026 Medicare rate & RVUs in Nevada

Reports percutaneous placement of peripheral ECMO/ECLS cannulae in a patient younger than five who needs extracorporeal cardiac or respiratory support.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Nevada, Medicare pays $374.68 for 33952 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$374.68Hospital or facility

Check a contract rate as a % of Medicare · 33952 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 33952 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 33952 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 33952 covers

Code 33952 describes percutaneous placement of peripheral cannulae to connect a patient younger than five to an extracorporeal membrane oxygenation or extracorporeal life support circuit. Cannulation may be needed for severe cardiac or respiratory failure when support outside the body is required. A physician experienced in ECMO access, often a surgeon, performs the procedure in a hospital setting such as an intensive care unit or operating room. Peripheral access uses vessels outside the chest; the selected vessels depend on the patient and clinical circumstances.

Select this code when the patient is younger than five and the documented approach is percutaneous peripheral cannulation. Distinguish it from the older-patient and open-placement codes. The record should support the patient’s age, access approach, cannula placement, and clinical reason for ECMO/ECLS. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% 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 Nevada compares for 33952

Across 109 of 109 payment localities, the facility rate for 33952 runs from $340.26 in Wisconsin to $494.05 in Alaska. Nevada pays $374.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

33952 in Nevada vs other payment areas
  1. Nevada · this page$374.68
  2. Los Angeles, CA · California$385.94+$11.26
  3. Washington, DC area · District of Columbia$416.39+$41.71
  4. Miami, FL · Florida$480.12+$105.44
  5. Chicago, IL · Illinois$465.65+$90.97
  6. Manhattan, NY · New York$446.86+$72.18
  7. Alaska · Alaska$494.05+$119.37

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

Every other payment area

33952 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$351.09
ArkansasArkansas—$347.05
ArizonaArizona—$374.21
Bakersfield, CACalifornia—$371.67
Chico, CACalifornia—$366.70
El Centro, CACalifornia—$367.00
Fresno, CACalifornia—$366.70
Hanford, CACalifornia—$366.70

33952 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
33952 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 33952 in every payment locality

How the 33952 rate is calculated

Each of 33952’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 · 33952

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.95

7.95 RVUs× 1.000 GPCI

Practice expense1.75

1.75 RVUs× 1.000 GPCI

Malpractice1.82

1.82 RVUs× 1.000 GPCI

Adjusted RVUs

11.5200

Conversion factor

$33.4009

Medicare rate

$384.78

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,138

Code
33952
Physician work
7.95
Practice expense
1.75
Malpractice
1.82

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 33952 in Nevada
ComponentRVULocality factorAdjusted
Physician work7.95× 1.0007.9500
Practice expense1.75× 1.0011.7517
Malpractice1.82× 0.8331.5161
Total RVUs11.2178
Conversion factor× 33.4009

Facility rate, Nevada$374.68

Facility: (7.95 × 1 + 1.75 × 1.001 + 1.82 × 0.833) × $33.4009 = $374.68

Open 33952 in the RVU calculator

Payment rules and modifiers for 33952

The CMS indicators that decide how 33952 is paid alongside other services.

CMS payment indicators · 33952

ECMO cannulation, peripheral, percutaneous, younger than five

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33952 without 51 · national facility

$384.78

ECMO cannulation, peripheral, percutaneous, younger than five

33952-51 · Second procedure: 50%

$192.39

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%).

When to use modifier 51

How 33952 has changed in Nevada

33952 · 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$374.68RVU26D
2026-07-01Not available in this setting$374.68RVU26C
2026-04-01Not available in this setting$374.68RVU26B
2026-01-01Not available in this setting$374.68RVU26A
2025-10-01Not available in this setting$395.57RVU25D
2025-07-01Not available in this setting$395.57RVU25C
2025-04-01Not available in this setting$395.57RVU25B
2025-01-01Not available in this setting$395.57RVU25A
2024-10-01Not available in this setting$406.54RVU24D
2024-07-01Not available in this setting$406.54RVU24C
2024-04-01Not available in this setting$406.54RVU24B
2024-03-09Not available in this setting$406.54RVU24AR
2024-01-01Not available in this setting$399.90RVU24A
2023-10-01Not available in this setting$428.86RVU23D
2023-07-01Not available in this setting$428.86RVU23C
2023-04-01Not available in this setting$428.86RVU23B
2023-01-01Not available in this setting$428.86RVU23A
2022-10-01Not available in this setting$457.01RVU22D
2022-07-01Not available in this setting$457.01RVU22C
2022-04-01Not available in this setting$457.01RVU22B
2022-01-01Not available in this setting$457.01RVU22A
2021-10-01Not available in this setting$458.09RVU21D
2021-07-01Not available in this setting$458.09RVU21C
2021-04-01Not available in this setting$458.09RVU21B
2021-01-01Not available in this setting$458.09RVU21A
2020-10-01Not available in this setting$457.71RVU20D
2020-07-01Not available in this setting$457.71RVU20C
2020-04-01Not available in this setting$457.71RVU20B
2020-01-01Not available in this setting$457.71RVU20A
2019-10-01Not available in this setting$444.09RVU19D
2019-07-01Not available in this setting$444.09RVU19C
2019-04-01Not available in this setting$444.09RVU19B
2019-01-01Not available in this setting$444.09RVU19A
2018-10-01Not available in this setting$443.64RVU18D
2018-07-01Not available in this setting$443.64RVU18C
2018-04-01Not available in this setting$443.64RVU18B
2018-01-01Not available in this setting$443.64RVU18AR1
2017-10-01Not available in this setting$447.85RVU17D
2017-07-01Not available in this setting$447.85RVU17C
2017-04-01Not available in this setting$447.85RVU17B
2017-01-01Not available in this setting$447.85RVU17A
2016-10-01Not available in this setting$453.39RVU16D
2016-07-01Not available in this setting$453.39RVU16C
2016-04-01Not available in this setting$453.39RVU16B
2016-01-01Not available in this setting$453.39RVU16A
2015-10-01Not available in this setting$455.43RVU15D
2015-07-01Not available in this setting$455.43RVU15C
2015-04-01Not available in this setting$453.16RVU15B
2015-01-01Not available in this setting$453.16RVU15A
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 33952 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

33952 billing questions

How does 33952 differ from 33951?

Both describe percutaneous peripheral ECMO/ECLS cannulation. Choose 33952 for a patient younger than five and 33951 for a patient age five or older.

How does 33952 differ from 33954?

Both are for patients younger than five, but 33952 is for percutaneous placement and 33954 is for open placement.

Does 33952 describe ECMO initiation?

It describes peripheral cannula placement. Codes 33946 and 33947 describe ECMO/ECLS initiation, distinguished by the venous or arterial circuit configuration.

Can modifier 50 be used for bilateral cannulation?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What documentation supports assistant-at-surgery payment?

Document the medical necessity for the assistant’s participation. CMS permits assistant-at-surgery payment only when that necessity is supported.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.

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 33952PPRRVU2026_Oct_nonQPP.csv, line 4,138 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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