CPT code 33959: Cannula repositioning, peripheral, percutaneous, under age one2026 Medicare rate & RVUs in Montana
Reports percutaneous repositioning of a peripheral ECMO/ECLS cannula in a patient younger than one year when its position requires adjustment during support.
In Montana, Medicare pays $216.03 for 33959 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33959 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 33959 covers
This service covers percutaneous adjustment of a peripheral cannula while a patient younger than one year is receiving extracorporeal membrane oxygenation or extracorporeal life support. It is performed by a clinician managing the ECMO/ECLS circuit when a cannula needs repositioning, rather than initial placement or removal. The patient’s age and the peripheral, percutaneous approach distinguish this code from other repositioning services in the family.
Report the service when the record supports an actual cannula repositioning and identifies the patient’s age, cannula site, and percutaneous approach. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If 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. Modifier 50 is inappropriate. 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 Montana compares for 33959
Across 109 of 109 payment localities, the facility rate for 33959 runs from $190.13 in Wisconsin to $275.30 in Alaska. Montana pays $216.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$216.03
- Los Angeles, CA · California$216.60+$0.57
- Washington, DC area · District of Columbia$234.21+$18.18
- Miami, FL · Florida$271.68+$55.65
- Chicago, IL · Illinois$263.15+$47.12
- Manhattan, NY · New York$251.85+$35.82
- Alaska · Alaska$275.30+$59.27
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $196.35 |
| ArkansasArkansas | — | $193.99 |
| ArizonaArizona | — | $209.92 |
| Bakersfield, CACalifornia | — | $208.39 |
| Chico, CACalifornia | — | $205.52 |
| El Centro, CACalifornia | — | $205.70 |
| Fresno, CACalifornia | — | $205.52 |
| Hanford, CACalifornia | — | $205.52 |
| Madera, CACalifornia | — | $205.52 |
| Merced, CACalifornia | — | $205.52 |
| Modesto, CACalifornia | — | $205.52 |
| Napa, CACalifornia | — | $219.01 |
| Oxnard, CACalifornia | — | $213.22 |
| Redding, CACalifornia | — | $205.52 |
| Rest of CaliforniaCalifornia | — | $205.52 |
| Riverside, CACalifornia | — | $216.89 |
| Sacramento, CACalifornia | — | $210.64 |
| Salinas, CACalifornia | — | $209.77 |
| San Diego, CACalifornia | — | $211.13 |
| Marin County, CACalifornia | — | $225.16 |
| San Francisco, CACalifornia | — | $223.96 |
| San Benito County, CACalifornia | — | $231.20 |
| Santa Clara County, CACalifornia | — | $226.28 |
| San Luis Obispo, CACalifornia | — | $207.03 |
| Santa Cruz, CACalifornia | — | $210.27 |
| Santa Maria, CACalifornia | — | $209.58 |
| Santa Rosa, CACalifornia | — | $212.04 |
| Stockton, CACalifornia | — | $205.52 |
| Vallejo, CACalifornia | — | $217.28 |
| Visalia, CACalifornia | — | $205.52 |
| Yuba City, CACalifornia | — | $205.52 |
| ColoradoColorado | — | $212.34 |
| ConnecticutConnecticut | — | $229.15 |
| DelawareDelaware | — | $212.84 |
| Fort Lauderdale, FLFlorida | — | $245.17 |
| Rest of FloridaFlorida | — | $232.37 |
| Atlanta, GAGeorgia | — | $224.22 |
| Rest of GeorgiaGeorgia | — | $219.11 |
| Hawaii, Guam, HIHawaii | — | $206.00 |
| IowaIowa | — | $191.77 |
| IdahoIdaho | — | $194.64 |
| East St. Louis, ILIllinois | — | $249.20 |
| Rest of IllinoisIllinois | — | $232.99 |
| Suburban Chicago, ILIllinois | — | $245.40 |
| IndianaIndiana | — | $195.35 |
| KansasKansas | — | $195.18 |
| KentuckyKentucky | — | $209.20 |
| New Orleans, LALouisiana | — | $218.85 |
| Rest of LouisianaLouisiana | — | $210.58 |
| Metropolitan Boston, MAMassachusetts | — | $224.98 |
| Rest of MassachusettsMassachusetts | — | $213.11 |
| Baltimore area, MDMaryland | — | $229.39 |
| Rest of MarylandMaryland | — | $215.08 |
| Rest of MaineMaine | — | $199.92 |
| Southern Maine, MEMaine | — | $202.72 |
| Detroit, MIMichigan | — | $239.16 |
| Rest of MichiganMichigan | — | $217.62 |
| MinnesotaMinnesota | — | $192.20 |
| Metropolitan Kansas City, MOMissouri | — | $213.15 |
| Metropolitan St. Louis, MOMissouri | — | $214.49 |
| Rest of MissouriMissouri | — | $210.34 |
| MississippiMississippi | — | $201.99 |
| North CarolinaNorth Carolina | — | $200.97 |
| North DakotaNorth Dakota | — | $195.07 |
| NebraskaNebraska | — | $191.38 |
| New HampshireNew Hampshire | — | $213.12 |
| Northern New JerseyNew Jersey | — | $233.30 |
| Rest of New JerseyNew Jersey | — | $228.59 |
| New MexicoNew Mexico | — | $220.31 |
| NevadaNevada | — | $210.23 |
| NYC suburbs and Long Island, NYNew York | — | $262.39 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $233.42 |
| Queens, NYNew York | — | $247.46 |
| Rest of New YorkNew York | — | $203.84 |
| OhioOhio | — | $213.34 |
| OklahomaOklahoma | — | $204.46 |
| Portland, OROregon | — | $213.26 |
| Rest of OregonOregon | — | $205.45 |
| Metropolitan Philadelphia, PAPennsylvania | — | $227.00 |
| Rest of PennsylvaniaPennsylvania | — | $211.28 |
| Puerto RicoPuerto Rico | — | $215.96 |
| Rhode IslandRhode Island | — | $216.20 |
| South CarolinaSouth Carolina | — | $208.13 |
| South DakotaSouth Dakota | — | $192.59 |
| TennesseeTennessee | — | $196.52 |
| Austin, TXTexas | — | $214.39 |
| Beaumont, TXTexas | — | $210.43 |
| Brazoria, TXTexas | — | $209.16 |
| Dallas, TXTexas | — | $212.25 |
| Fort Worth, TXTexas | — | $212.36 |
| Galveston, TXTexas | — | $210.93 |
| Houston, TXTexas | — | $230.34 |
| Rest of TexasTexas | — | $210.88 |
| UtahUtah | — | $210.39 |
| VirginiaVirginia | — | $205.10 |
| Virgin Islands, VIUnited States Virgin Islands | — | $215.96 |
| VermontVermont | — | $198.26 |
| Rest of WashingtonWashington | — | $211.39 |
| King County, WAWashington | — | $224.87 |
| WisconsinWisconsin | — | $190.13 |
| West VirginiaWest Virginia | — | $226.77 |
| WyomingWyoming | — | $206.90 |
33959 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 33959 rate is calculated
Each of 33959’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 · 33959
RVUs × geographic indexes × conversion factor
Work4.36
4.36 RVUs× 1.000 GPCI
Practice expense1.05
1.05 RVUs× 1.000 GPCI
Malpractice1.06
1.06 RVUs× 1.000 GPCI
Adjusted RVUs
6.4700
Conversion factor
$33.4009
Medicare rate
$216.10
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
4,145
- Code
- 33959
- Physician work
- 4.36
- Practice expense
- 1.05
- Malpractice
- 1.06
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.36 | × 1.000 | 4.3600 |
| Practice expense | 1.05 | × 1.000 | 1.0500 |
| Malpractice | 1.06 | × 0.998 | 1.0579 |
| Total RVUs | 6.4679 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$216.03
Facility: (4.36 × 1 + 1.05 × 1 + 1.06 × 0.998) × $33.4009 = $216.03
Payment rules and modifiers for 33959
The CMS indicators that decide how 33959 is paid alongside other services.
CMS payment indicators · 33959
Cannula repositioning, peripheral, percutaneous, under age one
| 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
33959 without 51 · national facility
$216.10
Cannula repositioning, peripheral, percutaneous, under age one
33959-51 · Second procedure: 50%
$108.05
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 33959 has changed in Montana
33959 · 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 | $216.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $216.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $216.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $216.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $220.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $220.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $220.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $220.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $226.58 | RVU24D |
| 2024-07-01 | Not available in this setting | $226.58 | RVU24C |
| 2024-04-01 | Not available in this setting | $226.58 | RVU24B |
| 2024-03-09 | Not available in this setting | $226.58 | RVU24AR |
| 2024-01-01 | Not available in this setting | $222.89 | RVU24A |
| 2023-10-01 | Not available in this setting | $229.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $229.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $229.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $229.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $236.22 | RVU22D |
| 2022-07-01 | Not available in this setting | $236.22 | RVU22C |
| 2022-04-01 | Not available in this setting | $236.22 | RVU22B |
| 2022-01-01 | Not available in this setting | $236.22 | RVU22A |
| 2021-10-01 | Not available in this setting | $237.85 | RVU21D |
| 2021-07-01 | Not available in this setting | $237.85 | RVU21C |
| 2021-04-01 | Not available in this setting | $237.85 | RVU21B |
| 2021-01-01 | Not available in this setting | $237.85 | RVU21A |
| 2020-10-01 | Not available in this setting | $256.13 | RVU20D |
| 2020-07-01 | Not available in this setting | $256.13 | RVU20C |
| 2020-04-01 | Not available in this setting | $256.13 | RVU20B |
| 2020-01-01 | Not available in this setting | $256.13 | RVU20A |
| 2019-10-01 | Not available in this setting | $270.39 | RVU19D |
| 2019-07-01 | Not available in this setting | $270.39 | RVU19C |
| 2019-04-01 | Not available in this setting | $270.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $270.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $269.86 | RVU18D |
| 2018-07-01 | Not available in this setting | $269.86 | RVU18C |
| 2018-04-01 | Not available in this setting | $269.86 | RVU18B |
| 2018-01-01 | Not available in this setting | $269.86 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $256.31 | RVU17D |
| 2017-07-01 | Not available in this setting | $256.31 | RVU17C |
| 2017-04-01 | Not available in this setting | $256.31 | RVU17B |
| 2017-01-01 | Not available in this setting | $256.31 | RVU17A |
| 2016-10-01 | Not available in this setting | $251.27 | RVU16D |
| 2016-07-01 | Not available in this setting | $251.27 | RVU16C |
| 2016-04-01 | Not available in this setting | $251.27 | RVU16B |
| 2016-01-01 | Not available in this setting | $251.27 | RVU16A |
| 2015-10-01 | Not available in this setting | $272.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $272.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $270.65 | RVU15B |
| 2015-01-01 | Not available in this setting | $270.65 | 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 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
33959 billing questions
When is 33959 selected over another repositioning code?
Use it for percutaneous repositioning of a peripheral cannula in a patient younger than one year. The other codes in the family distinguish age groups and approach.
Does 33959 cover initial cannula placement or removal?
No. It reports repositioning during ECMO/ECLS support; initial insertion and cannula removal are separate services.
What documentation supports reporting 33959?
Document the repositioning performed, the peripheral cannula and percutaneous approach, and the patient’s age.
Can modifier 50 be appended for repositioning two cannulas?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.
How does payment work when other 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.
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
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