CPT code 33957: ECMO cannula repositioning, percutaneous, venovenous2026 Medicare rate & RVUs in Connecticut
Reports percutaneous repositioning of peripheral cannulae in a venovenous ECMO or ECLS circuit when the cannula position needs adjustment.
In Connecticut, Medicare pays $180.23 for 33957 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33957 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 33957 covers
This service covers percutaneous adjustment of peripheral cannula position in a venovenous extracorporeal membrane oxygenation or extracorporeal life support circuit. It may be needed when a cannula is malpositioned or its position interferes with effective circuit flow. Cardiothoracic or vascular surgeons and other clinicians experienced in ECMO cannulation may perform the procedure in an operating room, catheterization laboratory, or intensive care setting. The service concerns repositioning an existing peripheral cannula, not placing or removing one.
Select the code when the documented procedure is percutaneous repositioning for venovenous support; the record should identify the cannula site, the reason for adjustment, and the technique performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires documentation of 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 Connecticut compares for 33957
Across 109 of 109 payment localities, the facility rate for 33957 runs from $149.87 in Wisconsin to $216.67 in Alaska. Connecticut pays $180.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$180.23
- Los Angeles, CA · California$170.69−$9.54
- Washington, DC area · District of Columbia$184.33+$4.10
- Miami, FL · Florida$213.05+$32.82
- Chicago, IL · Illinois$206.42+$26.19
- Manhattan, NY · New York$197.97+$17.74
- Alaska · Alaska$216.67+$36.44
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $154.58 |
| ArkansasArkansas | — | $152.72 |
| ArizonaArizona | — | $165.19 |
| Bakersfield, CACalifornia | — | $164.20 |
| Chico, CACalifornia | — | $161.97 |
| El Centro, CACalifornia | — | $162.11 |
| Fresno, CACalifornia | — | $161.97 |
| Hanford, CACalifornia | — | $161.97 |
| Madera, CACalifornia | — | $161.97 |
| Merced, CACalifornia | — | $161.97 |
| Modesto, CACalifornia | — | $161.97 |
| Napa, CACalifornia | — | $172.76 |
| Oxnard, CACalifornia | — | $168.05 |
| Redding, CACalifornia | — | $161.97 |
| Rest of CaliforniaCalifornia | — | $161.97 |
| Riverside, CACalifornia | — | $170.77 |
| Sacramento, CACalifornia | — | $166.04 |
| Salinas, CACalifornia | — | $165.36 |
| San Diego, CACalifornia | — | $166.46 |
| Marin County, CACalifornia | — | $177.69 |
| San Francisco, CACalifornia | — | $176.75 |
| San Benito County, CACalifornia | — | $182.42 |
| Santa Clara County, CACalifornia | — | $178.61 |
| San Luis Obispo, CACalifornia | — | $163.19 |
| Santa Cruz, CACalifornia | — | $165.81 |
| Santa Maria, CACalifornia | — | $165.21 |
| Santa Rosa, CACalifornia | — | $167.20 |
| Stockton, CACalifornia | — | $161.97 |
| Vallejo, CACalifornia | — | $171.42 |
| Visalia, CACalifornia | — | $161.97 |
| Yuba City, CACalifornia | — | $161.97 |
| ColoradoColorado | — | $167.20 |
| DelawareDelaware | — | $167.47 |
| Fort Lauderdale, FLFlorida | — | $192.51 |
| Rest of FloridaFlorida | — | $182.54 |
| Atlanta, GAGeorgia | — | $176.31 |
| Rest of GeorgiaGeorgia | — | $172.20 |
| Hawaii, Guam, HIHawaii | — | $162.37 |
| IowaIowa | — | $151.08 |
| IdahoIdaho | — | $153.31 |
| East St. Louis, ILIllinois | — | $195.51 |
| Rest of IllinoisIllinois | — | $182.96 |
| Suburban Chicago, ILIllinois | — | $192.72 |
| IndianaIndiana | — | $153.86 |
| KansasKansas | — | $153.70 |
| KentuckyKentucky | — | $164.53 |
| New Orleans, LALouisiana | — | $172.06 |
| Rest of LouisianaLouisiana | — | $165.60 |
| Metropolitan Boston, MAMassachusetts | — | $177.19 |
| Rest of MassachusettsMassachusetts | — | $167.78 |
| Baltimore area, MDMaryland | — | $180.40 |
| Rest of MarylandMaryland | — | $169.25 |
| Rest of MaineMaine | — | $157.39 |
| Southern Maine, MEMaine | — | $159.65 |
| Detroit, MIMichigan | — | $187.81 |
| Rest of MichiganMichigan | — | $171.07 |
| MinnesotaMinnesota | — | $151.55 |
| Metropolitan Kansas City, MOMissouri | — | $167.65 |
| Metropolitan St. Louis, MOMissouri | — | $168.70 |
| Rest of MissouriMissouri | — | $165.38 |
| MississippiMississippi | — | $158.92 |
| MontanaMontana | — | $169.96 |
| North CarolinaNorth Carolina | — | $158.22 |
| North DakotaNorth Dakota | — | $153.74 |
| NebraskaNebraska | — | $150.79 |
| New HampshireNew Hampshire | — | $167.75 |
| Northern New JerseyNew Jersey | — | $183.61 |
| Rest of New JerseyNew Jersey | — | $179.85 |
| New MexicoNew Mexico | — | $173.16 |
| NevadaNevada | — | $165.47 |
| NYC suburbs and Long Island, NYNew York | — | $206.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $183.60 |
| Queens, NYNew York | — | $194.59 |
| Rest of New YorkNew York | — | $160.46 |
| OhioOhio | — | $167.76 |
| OklahomaOklahoma | — | $160.87 |
| Portland, OROregon | — | $167.98 |
| Rest of OregonOregon | — | $161.76 |
| Metropolitan Philadelphia, PAPennsylvania | — | $178.52 |
| Rest of PennsylvaniaPennsylvania | — | $166.18 |
| Puerto RicoPuerto Rico | — | $169.91 |
| Rhode IslandRhode Island | — | $170.16 |
| South CarolinaSouth Carolina | — | $163.74 |
| South DakotaSouth Dakota | — | $151.82 |
| TennesseeTennessee | — | $154.75 |
| Austin, TXTexas | — | $168.76 |
| Beaumont, TXTexas | — | $165.51 |
| Brazoria, TXTexas | — | $164.64 |
| Dallas, TXTexas | — | $167.04 |
| Fort Worth, TXTexas | — | $167.11 |
| Galveston, TXTexas | — | $166.01 |
| Houston, TXTexas | — | $181.02 |
| Rest of TexasTexas | — | $165.91 |
| UtahUtah | — | $165.51 |
| VirginiaVirginia | — | $161.48 |
| Virgin Islands, VIUnited States Virgin Islands | — | $169.91 |
| VermontVermont | — | $156.20 |
| Rest of WashingtonWashington | — | $166.45 |
| King County, WAWashington | — | $177.15 |
| WisconsinWisconsin | — | $149.87 |
| West VirginiaWest Virginia | — | $178.10 |
| WyomingWyoming | — | $162.89 |
33957 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 33957 rate is calculated
Each of 33957’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 · 33957
RVUs × geographic indexes × conversion factor
Work3.42
3.42 RVUs× 1.000 GPCI
Practice expense0.85
0.85 RVUs× 1.000 GPCI
Malpractice0.82
0.82 RVUs× 1.000 GPCI
Adjusted RVUs
5.0900
Conversion factor
$33.4009
Medicare rate
$170.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,143
- Code
- 33957
- Physician work
- 3.42
- Practice expense
- 0.85
- Malpractice
- 0.82
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.42 | × 1.020 | 3.4884 |
| Practice expense | 0.85 | × 1.077 | 0.9154 |
| Malpractice | 0.82 | × 1.210 | 0.9922 |
| Total RVUs | 5.3960 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$180.23
Facility: (3.42 × 1.02 + 0.85 × 1.077 + 0.82 × 1.21) × $33.4009 = $180.23
Payment rules and modifiers for 33957
The CMS indicators that decide how 33957 is paid alongside other services.
CMS payment indicators · 33957
ECMO cannula repositioning, percutaneous, venovenous
| 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
33957 without 51 · national facility
$170.01
ECMO cannula repositioning, percutaneous, venovenous
33957-51 · Second procedure: 50%
$85.01
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 33957 has changed in Connecticut
33957 · 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 | $180.23 | RVU26D |
| 2026-07-01 | Not available in this setting | $180.23 | RVU26C |
| 2026-04-01 | Not available in this setting | $180.23 | RVU26B |
| 2026-01-01 | Not available in this setting | $180.23 | RVU26A |
| 2025-10-01 | Not available in this setting | $185.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $185.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $185.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $185.77 | RVU25A |
| 2024-10-01 | Not available in this setting | $189.68 | RVU24D |
| 2024-07-01 | Not available in this setting | $189.68 | RVU24C |
| 2024-04-01 | Not available in this setting | $189.68 | RVU24B |
| 2024-03-09 | Not available in this setting | $189.68 | RVU24AR |
| 2024-01-01 | Not available in this setting | $186.59 | RVU24A |
| 2023-10-01 | Not available in this setting | $191.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $191.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $191.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $191.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $194.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $194.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $194.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $194.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $194.41 | RVU21D |
| 2021-07-01 | Not available in this setting | $194.41 | RVU21C |
| 2021-04-01 | Not available in this setting | $194.41 | RVU21B |
| 2021-01-01 | Not available in this setting | $194.41 | RVU21A |
| 2020-10-01 | Not available in this setting | $204.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $204.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $204.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $204.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $208.27 | RVU19D |
| 2019-07-01 | Not available in this setting | $208.27 | RVU19C |
| 2019-04-01 | Not available in this setting | $208.27 | RVU19B |
| 2019-01-01 | Not available in this setting | $208.27 | RVU19A |
| 2018-10-01 | Not available in this setting | $208.49 | RVU18D |
| 2018-07-01 | Not available in this setting | $208.49 | RVU18C |
| 2018-04-01 | Not available in this setting | $208.49 | RVU18B |
| 2018-01-01 | Not available in this setting | $208.49 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $208.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $208.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $208.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $208.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $207.26 | RVU16D |
| 2016-07-01 | Not available in this setting | $207.26 | RVU16C |
| 2016-04-01 | Not available in this setting | $207.26 | RVU16B |
| 2016-01-01 | Not available in this setting | $207.26 | RVU16A |
| 2015-10-01 | Not available in this setting | $223.50 | RVU15D |
| 2015-07-01 | Not available in this setting | $223.50 | RVU15C |
| 2015-04-01 | Not available in this setting | $222.39 | RVU15B |
| 2015-01-01 | Not available in this setting | $222.39 | 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 Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
33957 billing questions
How is this code distinguished from 33958?
Both codes describe percutaneous repositioning of peripheral ECMO/ECLS cannulae. Choose based on the circuit configuration documented; 33957 is for venovenous support.
Can this be reported for initial cannula placement?
No. This code describes repositioning an existing peripheral cannula. Use the applicable insertion code when the service places a cannula.
Is same-day postoperative care separately reported?
Same-day preoperative and postoperative care is included in this procedure's 0-day global period.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
When is assistant-at-surgery payment allowed?
Only when the record documents medical necessity for the assistant. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures 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
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