CPT code 33955: Central cannulation, birth through age five2026 Medicare rate & RVUs in Arkansas

Reports central ECMO/ECLS cannula placement through a chest incision in a patient from birth through age five when central access is selected.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Arkansas, Medicare pays $681.50 for 33955 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$681.50Hospital or facility

Check a contract rate as a % of Medicare · 33955 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 33955 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 33955 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 33955 covers

This service covers placement of central cannulae for extracorporeal membrane oxygenation or extracorporeal life support through a sternotomy or thoracotomy in a patient from birth through age five. A cardiothoracic or cardiac surgeon typically performs it in an operating room, including when central access is established during or after cardiac surgery. Central cannulation places access directly in the chest rather than through peripheral vessels.

Select this code based on the patient’s age and the central surgical access documented in the operative report; peripheral cannulation is coded separately. The record should support the need for ECMO/ECLS, the chest approach, and cannula placement. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon and team-surgery claims require supporting documentation.

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 Arkansas compares for 33955

Across 109 of 109 payment localities, the facility rate for 33955 runs from $666.72 in Wisconsin to $969.58 in Alaska. Arkansas pays $681.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

33955 in Arkansas vs other payment areas
  1. Arkansas · this page$681.50
  2. Los Angeles, CA · California$757.73+$76.23
  3. Washington, DC area · District of Columbia$820.04+$138.54
  4. Miami, FL · Florida$953.46+$271.96
  5. Chicago, IL · Illinois$923.84+$242.34
  6. Manhattan, NY · New York$882.54+$201.04
  7. Alaska · Alaska$969.58+$288.08

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

Every other payment area

33955 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$689.66
ArizonaArizona—$736.41
Bakersfield, CACalifornia—$729.66
Chico, CACalifornia—$719.50
El Centro, CACalifornia—$720.13
Fresno, CACalifornia—$719.50
Hanford, CACalifornia—$719.50
Madera, CACalifornia—$719.50

33955 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
33955 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 33955 in every payment locality

How the 33955 rate is calculated

Each of 33955’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 · 33955

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.60

15.60 RVUs× 1.000 GPCI

Practice expense3.35

3.35 RVUs× 1.000 GPCI

Malpractice3.74

3.74 RVUs× 1.000 GPCI

Adjusted RVUs

22.6900

Conversion factor

$33.4009

Medicare rate

$757.87

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,141

Code
33955
Physician work
15.60
Practice expense
3.35
Malpractice
3.74

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 33955 in Arkansas
ComponentRVULocality factorAdjusted
Physician work15.60× 1.00015.6000
Practice expense3.35× 0.8592.8777
Malpractice3.74× 0.5151.9261
Total RVUs20.4038
Conversion factor× 33.4009

Facility rate, Arkansas$681.50

Facility: (15.6 × 1 + 3.35 × 0.859 + 3.74 × 0.515) × $33.4009 = $681.50

Open 33955 in the RVU calculator

Payment rules and modifiers for 33955

The CMS indicators that decide how 33955 is paid alongside other services.

CMS payment indicators · 33955

Central cannulation, birth through age 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)1Permitted with supporting documentation.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33955 without 51 · national facility

$757.87

Central cannulation, birth through age five

33955-51 · Second procedure: 50%

$378.94

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 33955 has changed in Arkansas

33955 · 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$681.50RVU26D
2026-07-01Not available in this setting$681.50RVU26C
2026-04-01Not available in this setting$681.50RVU26B
2026-01-01Not available in this setting$681.50RVU26A
2025-10-01Not available in this setting$703.88RVU25D
2025-07-01Not available in this setting$703.88RVU25C
2025-04-01Not available in this setting$703.88RVU25B
2025-01-01Not available in this setting$703.88RVU25A
2024-10-01Not available in this setting$721.79RVU24D
2024-07-01Not available in this setting$721.79RVU24C
2024-04-01Not available in this setting$721.79RVU24B
2024-03-09Not available in this setting$721.79RVU24AR
2024-01-01Not available in this setting$710.01RVU24A
2023-10-01Not available in this setting$732.13RVU23D
2023-07-01Not available in this setting$732.13RVU23C
2023-04-01Not available in this setting$732.13RVU23B
2023-01-01Not available in this setting$732.13RVU23A
2022-10-01Not available in this setting$745.95RVU22D
2022-07-01Not available in this setting$745.95RVU22C
2022-04-01Not available in this setting$745.95RVU22B
2022-01-01Not available in this setting$745.95RVU22A
2021-10-01Not available in this setting$751.50RVU21D
2021-07-01Not available in this setting$751.50RVU21C
2021-04-01Not available in this setting$751.50RVU21B
2021-01-01Not available in this setting$751.50RVU21A
2020-10-01Not available in this setting$783.58RVU20D
2020-07-01Not available in this setting$783.58RVU20C
2020-04-01Not available in this setting$783.58RVU20B
2020-01-01Not available in this setting$783.58RVU20A
2019-10-01Not available in this setting$795.88RVU19D
2019-07-01Not available in this setting$795.88RVU19C
2019-04-01Not available in this setting$795.88RVU19B
2019-01-01Not available in this setting$795.88RVU19A
2018-10-01Not available in this setting$795.02RVU18D
2018-07-01Not available in this setting$795.02RVU18C
2018-04-01Not available in this setting$795.02RVU18B
2018-01-01Not available in this setting$795.02RVU18AR1
2017-10-01Not available in this setting$811.34RVU17D
2017-07-01Not available in this setting$811.34RVU17C
2017-04-01Not available in this setting$811.34RVU17B
2017-01-01Not available in this setting$811.34RVU17A
2016-10-01Not available in this setting$807.20RVU16D
2016-07-01Not available in this setting$807.20RVU16C
2016-04-01Not available in this setting$807.20RVU16B
2016-01-01Not available in this setting$807.20RVU16A
2015-10-01Not available in this setting$840.39RVU15D
2015-07-01Not available in this setting$840.39RVU15C
2015-04-01Not available in this setting$836.20RVU15B
2015-01-01Not available in this setting$836.20RVU15A
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 33955 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

33955 billing questions

How does this differ from peripheral cannula insertion?

Use this code for central cannula placement through a sternotomy or thoracotomy. Peripheral access uses the applicable peripheral insertion code.

How does this differ from code 33956?

Code 33956 is the central cannula insertion counterpart for patients age six and older. This code is for patients from birth through age five.

Is ECMO initiation part of this service?

This code reports cannula placement. ECMO/ECLS initiation is a separate service; code 33947 describes venoarterial initiation when that service is performed and documented.

Should modifier 50 be used?

No. Modifier 50 is inappropriate for this central-cannula service; document the central approach and cannula placement.

What documentation supports the age-specific code?

The operative report should identify the patient’s age, the sternotomy or thoracotomy approach, and the central cannula placement for ECMO/ECLS.

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 33955PPRRVU2026_Oct_nonQPP.csv, line 4,141 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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