CPT code 33962: ECMO cannula, peripheral repositioning2026 Medicare rate & RVUs
Reports repositioning an existing peripheral cannula during ECMO or ECLS when its position requires procedural correction to support extracorporeal flow.
Medicare pays $216.10 for 33962 nationally in a facility.
Medicare rate · 33962
ECMO cannula, peripheral repositioning
- Work RVUs
- 4.36
- Total RVUs
- 6.47
- Global days
- 000
National rate · 2026
$216.10
Facility setting, before claim adjustments.
See every locality for 33962 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 33962 covers
During extracorporeal membrane oxygenation or extracorporeal life support, a clinician may need to adjust an existing peripheral cannula when its position is interfering with effective support or causing a position-related problem. This is a repositioning service, not placement of a new cannula or removal of a cannula. It is typically performed by a surgeon or other clinician managing the ECMO/ECLS cannulation in a hospital setting.
Select 33962 by matching the documented procedure to this code’s full CPT descriptor; the 33957–33964 family distinguishes among specific patient and procedural circumstances. The record should identify the cannula and its peripheral location, the reason for adjustment, the repositioning performed, and the resulting position. 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. 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.
Where 33962 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $196.35 |
| Alaska | Unavailable | $275.30 |
| Arizona | Unavailable | $209.92 |
| Arkansas | Unavailable | $193.99 |
| Atlanta, GA | Unavailable | $224.22 |
| Austin, TX | Unavailable | $214.39 |
| Bakersfield, CA | Unavailable | $208.39 |
| Baltimore area, MD | Unavailable | $229.39 |
| Beaumont, TX | Unavailable | $210.43 |
| Brazoria, TX | Unavailable | $209.16 |
| Chicago, IL | Unavailable | $263.15 |
| Chico, CA | Unavailable | $205.52 |
| Colorado | Unavailable | $212.34 |
| Connecticut | Unavailable | $229.15 |
| Dallas, TX | Unavailable | $212.25 |
| Delaware | Unavailable | $212.84 |
| Detroit, MI | Unavailable | $239.16 |
| East St. Louis, IL | Unavailable | $249.20 |
| El Centro, CA | Unavailable | $205.70 |
| Fort Lauderdale, FL | Unavailable | $245.17 |
| Fort Worth, TX | Unavailable | $212.36 |
| Fresno, CA | Unavailable | $205.52 |
| Galveston, TX | Unavailable | $210.93 |
| Hanford, CA | Unavailable | $205.52 |
| Hawaii, Guam, HI | Unavailable | $206.00 |
| Houston, TX | Unavailable | $230.34 |
| Idaho | Unavailable | $194.64 |
| Indiana | Unavailable | $195.35 |
| Iowa | Unavailable | $191.77 |
| Kansas | Unavailable | $195.18 |
| Kentucky | Unavailable | $209.20 |
| King County, WA | Unavailable | $224.87 |
| Los Angeles, CA | Unavailable | $216.60 |
| Madera, CA | Unavailable | $205.52 |
| Manhattan, NY | Unavailable | $251.85 |
| Marin County, CA | Unavailable | $225.16 |
| Merced, CA | Unavailable | $205.52 |
| Metropolitan Boston, MA | Unavailable | $224.98 |
| Metropolitan Kansas City, MO | Unavailable | $213.15 |
| Metropolitan Philadelphia, PA | Unavailable | $227.00 |
| Metropolitan St. Louis, MO | Unavailable | $214.49 |
| Miami, FL | Unavailable | $271.68 |
| Minnesota | Unavailable | $192.20 |
| Mississippi | Unavailable | $201.99 |
| Modesto, CA | Unavailable | $205.52 |
| Montana | Unavailable | $216.03 |
| Napa, CA | Unavailable | $219.01 |
| Nebraska | Unavailable | $191.38 |
| Nevada | Unavailable | $210.23 |
| New Hampshire | Unavailable | $213.12 |
| New Mexico | Unavailable | $220.31 |
| New Orleans, LA | Unavailable | $218.85 |
| North Carolina | Unavailable | $200.97 |
| North Dakota | Unavailable | $195.07 |
| Northern New Jersey | Unavailable | $233.30 |
| NYC suburbs and Long Island, NY | Unavailable | $262.39 |
| Ohio | Unavailable | $213.34 |
| Oklahoma | Unavailable | $204.46 |
| Oxnard, CA | Unavailable | $213.22 |
| Portland, OR | Unavailable | $213.26 |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | $233.42 |
| Puerto Rico | Unavailable | $215.96 |
| Queens, NY | Unavailable | $247.46 |
| Redding, CA | Unavailable | $205.52 |
| Rest of California | Unavailable | $205.52 |
| Rest of Florida | Unavailable | $232.37 |
| Rest of Georgia | Unavailable | $219.11 |
| Rest of Illinois | Unavailable | $232.99 |
| Rest of Louisiana | Unavailable | $210.58 |
| Rest of Maine | Unavailable | $199.92 |
| Rest of Maryland | Unavailable | $215.08 |
| Rest of Massachusetts | Unavailable | $213.11 |
| Rest of Michigan | Unavailable | $217.62 |
| Rest of Missouri | Unavailable | $210.34 |
| Rest of New Jersey | Unavailable | $228.59 |
| Rest of New York | Unavailable | $203.84 |
| Rest of Oregon | Unavailable | $205.45 |
| Rest of Pennsylvania | Unavailable | $211.28 |
| Rest of Texas | Unavailable | $210.88 |
| Rest of Washington | Unavailable | $211.39 |
| Rhode Island | Unavailable | $216.20 |
| Riverside, CA | Unavailable | $216.89 |
| Sacramento, CA | Unavailable | $210.64 |
| Salinas, CA | Unavailable | $209.77 |
| San Benito County, CA | Unavailable | $231.20 |
| San Diego, CA | Unavailable | $211.13 |
| San Francisco, CA | Unavailable | $223.96 |
| San Luis Obispo, CA | Unavailable | $207.03 |
| Santa Clara County, CA | Unavailable | $226.28 |
| Santa Cruz, CA | Unavailable | $210.27 |
| Santa Maria, CA | Unavailable | $209.58 |
| Santa Rosa, CA | Unavailable | $212.04 |
| South Carolina | Unavailable | $208.13 |
| South Dakota | Unavailable | $192.59 |
| Southern Maine, ME | Unavailable | $202.72 |
| Stockton, CA | Unavailable | $205.52 |
| Suburban Chicago, IL | Unavailable | $245.40 |
| Tennessee | Unavailable | $196.52 |
| Utah | Unavailable | $210.39 |
| Vallejo, CA | Unavailable | $217.28 |
| Vermont | Unavailable | $198.26 |
| Virgin Islands, VI | Unavailable | $215.96 |
| Virginia | Unavailable | $205.10 |
| Visalia, CA | Unavailable | $205.52 |
| Washington, DC area | Unavailable | $234.21 |
| West Virginia | Unavailable | $226.77 |
| Wisconsin | Unavailable | $190.13 |
| Wyoming | Unavailable | $206.90 |
| Yuba City, CA | Unavailable | $205.52 |
33962 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
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| 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 33962 rate is calculated
Each of 33962’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 · 33962
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.
Payment rules and modifiers for 33962
The CMS indicators that decide how 33962 is paid alongside other services.
CMS payment indicators · 33962
ECMO cannula, peripheral repositioning
| 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
33962 without 51 · national facility
$216.10
ECMO cannula, peripheral repositioning
33962-51 · 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%).
33962 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33951ECMO cannulationPercutaneous, age 5 or older
- 33951 represents peripheral cannula insertion. Use 33962 for repositioning an existing peripheral cannula, not for establishing cannulation.
- 33965ECMO cannula removalPercutaneous, age five and older
- 33965 represents peripheral cannula removal. Use 33962 when the cannula is adjusted and remains in place.
- 33963ECMO cannula repositioningPeripheral cannula
- Both codes are in the peripheral ECMO/ECLS repositioning family. Choose between them by matching the full CPT descriptors to the documented patient and procedural circumstances.
33962 billing questions
How do I choose 33962 over another code in the 33957–33964 family?
Match the case to the full CPT descriptor for each candidate code. Document the patient and procedural circumstances that distinguish the selected family code; the CMS short descriptor alone does not provide those details.
Is 33962 for inserting or removing an ECMO cannula?
No. It represents repositioning an existing peripheral cannula. Cannula insertion and removal are separate services with their own codes.
What documentation supports reporting the repositioning?
Document the cannula’s peripheral location, why its position required correction, what adjustment was performed, and the resulting position. The record should also support the patient and procedural circumstances specified by the code descriptor.
Can an assistant surgeon be reported with 33962?
CMS payment for an assistant at surgery is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure’s payment. The code has a 0-day global period.
What happens when 33962 is performed with other procedures in the same session?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this code.
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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