CPT code 33958: Cannula repositioning, open, younger than six years2026 Medicare rate & RVUs in Montana

Reports open repositioning of an existing peripheral ECMO/ECLS cannula in a patient younger than six years when its position requires surgical correction.

CMS RVU26DEffective Oct 1, 2026One payment locality80 Medicare services in 2024

In Montana, Medicare pays $169.96 for 33958 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$169.96Hospital or facility

Check a contract rate as a % of Medicare · 33958 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 33958 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 33958 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 33958 covers

This service covers surgically repositioning an existing peripheral cannula used for extracorporeal membrane oxygenation or extracorporeal life support in a patient younger than six years. A surgeon may adjust a cannula in a peripheral vessel, such as a cervical or femoral vessel, when its position needs correction during ECMO/ECLS support. The procedure is typically performed in a hospital operating room or intensive care setting by a cardiac or vascular surgeon.

Select this code for open repositioning in the specified age group, not for initial cannula placement, percutaneous repositioning, central cannula repositioning, or cannula removal. The operative report should identify the patient’s age, the peripheral cannula, the open approach, and the repositioning performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is not appropriate. Assistant-at-surgery payment requires medical-necessity documentation; 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 Montana compares for 33958

Across 109 of 109 payment localities, the facility rate for 33958 runs from $149.87 in Wisconsin to $216.67 in Alaska. Montana pays $169.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

33958 in Montana vs other payment areas
  1. Montana · this page$169.96
  2. Los Angeles, CA · California$170.69+$0.73
  3. Washington, DC area · District of Columbia$184.33+$14.37
  4. Miami, FL · Florida$213.05+$43.09
  5. Chicago, IL · Illinois$206.42+$36.46
  6. Manhattan, NY · New York$197.97+$28.01
  7. Alaska · Alaska$216.67+$46.71

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

Every other payment area

33958 in every other Medicare payment locality
Payment localityOfficeFacility
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

33958 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
33958 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 33958 in every payment locality

How the 33958 rate is calculated

Each of 33958’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 · 33958

RVUs × geographic indexes × conversion factor

Office or facility?

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 Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,144

Code
33958
Physician work
3.42
Practice expense
0.85
Malpractice
0.82

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 33958 in Montana
ComponentRVULocality factorAdjusted
Physician work3.42× 1.0003.4200
Practice expense0.85× 1.0000.8500
Malpractice0.82× 0.9980.8184
Total RVUs5.0884
Conversion factor× 33.4009

Facility rate, Montana$169.96

Facility: (3.42 × 1 + 0.85 × 1 + 0.82 × 0.998) × $33.4009 = $169.96

Open 33958 in the RVU calculator

Payment rules and modifiers for 33958

The CMS indicators that decide how 33958 is paid alongside other services.

CMS payment indicators · 33958

Cannula repositioning, open, younger than six years

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

33958 without 51 · national facility

$170.01

Cannula repositioning, open, younger than six years

33958-51 · 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%).

When to use modifier 51

How 33958 has changed in Montana

33958 · 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$169.96RVU26D
2026-07-01Not available in this setting$169.96RVU26C
2026-04-01Not available in this setting$169.96RVU26B
2026-01-01Not available in this setting$169.96RVU26A
2025-10-01Not available in this setting$174.09RVU25D
2025-07-01Not available in this setting$174.09RVU25C
2025-04-01Not available in this setting$174.09RVU25B
2025-01-01Not available in this setting$174.09RVU25A
2024-10-01Not available in this setting$177.84RVU24D
2024-07-01Not available in this setting$177.84RVU24C
2024-04-01Not available in this setting$177.84RVU24B
2024-03-09Not available in this setting$177.84RVU24AR
2024-01-01Not available in this setting$174.93RVU24A
2023-10-01Not available in this setting$181.39RVU23D
2023-07-01Not available in this setting$181.39RVU23C
2023-04-01Not available in this setting$181.39RVU23B
2023-01-01Not available in this setting$181.39RVU23A
2022-10-01Not available in this setting$186.56RVU22D
2022-07-01Not available in this setting$186.56RVU22C
2022-04-01Not available in this setting$186.56RVU22B
2022-01-01Not available in this setting$186.56RVU22A
2021-10-01Not available in this setting$186.75RVU21D
2021-07-01Not available in this setting$186.75RVU21C
2021-04-01Not available in this setting$186.75RVU21B
2021-01-01Not available in this setting$186.75RVU21A
2020-10-01Not available in this setting$202.11RVU20D
2020-07-01Not available in this setting$202.11RVU20C
2020-04-01Not available in this setting$202.11RVU20B
2020-01-01Not available in this setting$202.11RVU20A
2019-10-01Not available in this setting$212.31RVU19D
2019-07-01Not available in this setting$212.31RVU19C
2019-04-01Not available in this setting$211.72RVU19B
2019-01-01Not available in this setting$211.72RVU19A
2018-10-01Not available in this setting$213.02RVU18D
2018-07-01Not available in this setting$213.02RVU18C
2018-04-01Not available in this setting$213.02RVU18B
2018-01-01Not available in this setting$213.02RVU18AR1
2017-10-01Not available in this setting$198.37RVU17D
2017-07-01Not available in this setting$198.37RVU17C
2017-04-01Not available in this setting$198.37RVU17B
2017-01-01Not available in this setting$198.37RVU17A
2016-10-01Not available in this setting$195.40RVU16D
2016-07-01Not available in this setting$195.40RVU16C
2016-04-01Not available in this setting$195.40RVU16B
2016-01-01Not available in this setting$195.40RVU16A
2015-10-01Not available in this setting$207.25RVU15D
2015-07-01Not available in this setting$207.25RVU15C
2015-04-01Not available in this setting$206.22RVU15B
2015-01-01Not available in this setting$206.22RVU15A
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 33958 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

33958 billing questions

When should this code be selected instead of 33957?

Use 33958 for open repositioning of a peripheral cannula in a patient younger than six years. Code 33957 describes the corresponding open service for patients six years and older.

How does this differ from 33962?

Both codes describe peripheral cannula repositioning for patients younger than six years, but 33958 is the open approach and 33962 is the percutaneous approach.

Is this code for placing or removing a cannula?

No. It describes repositioning an existing peripheral cannula. Initial placement and cannula removal are separate services with their own codes.

What should the operative report document?

Document the patient’s age, that the cannula is peripheral, the open approach, and the repositioning performed. The record should distinguish repositioning from insertion or removal.

Can an assistant-at-surgery be reported?

CMS pays an assistant at surgery only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. CMS applies the standard multiple procedure reduction when other procedures are performed in the same session.

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 33958PPRRVU2026_Oct_nonQPP.csv, line 4,144 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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