CPT code 33962: ECMO cannula, peripheral repositioning2026 Medicare rate & RVUs in Puerto Rico

Reports repositioning an existing peripheral cannula during ECMO or ECLS when its position requires procedural correction to support extracorporeal flow.

CMS RVU26DEffective Oct 1, 2026One payment locality27 Medicare services in 2024

In Puerto Rico, Medicare pays $215.96 for 33962 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$215.96Hospital or facility

Check a contract rate as a % of Medicare · 33962 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 33962 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 33962 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 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.

How Puerto Rico compares for 33962

Across 109 of 109 payment localities, the facility rate for 33962 runs from $190.13 in Wisconsin to $275.30 in Alaska. Puerto Rico pays $215.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

33962 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$215.96
  2. Los Angeles, CA · California$216.60+$0.64
  3. Washington, DC area · District of Columbia$234.21+$18.25
  4. Miami, FL · Florida$271.68+$55.72
  5. Chicago, IL · Illinois$263.15+$47.19
  6. Manhattan, NY · New York$251.85+$35.89
  7. Alaska · Alaska$275.30+$59.34

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

Every other payment area

33962 in every other Medicare payment locality
Payment localityOfficeFacility
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

33962 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
33962 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 33962 in every payment locality

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

Office or facility?

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 Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,147

Code
33962
Physician work
4.36
Practice expense
1.05
Malpractice
1.06

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 33962 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work4.36× 1.0004.3600
Practice expense1.05× 1.0111.0615
Malpractice1.06× 0.9851.0441
Total RVUs6.4657
Conversion factor× 33.4009

Facility rate, Puerto Rico$215.96

Facility: (4.36 × 1 + 1.05 × 1.011 + 1.06 × 0.985) × $33.4009 = $215.96

Open 33962 in the RVU calculator

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

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

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%).

When to use modifier 51

How 33962 has changed in Puerto Rico

33962 · 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$215.96RVU26D
2026-07-01Not available in this setting$215.96RVU26C
2026-04-01Not available in this setting$215.96RVU26B
2026-01-01Not available in this setting$215.96RVU26A
2025-10-01Not available in this setting$221.28RVU25D
2025-07-01Not available in this setting$221.28RVU25C
2025-04-01Not available in this setting$221.28RVU25B
2025-01-01Not available in this setting$221.28RVU25A
2024-10-01Not available in this setting$227.03RVU24D
2024-07-01Not available in this setting$227.03RVU24C
2024-04-01Not available in this setting$227.03RVU24B
2024-03-09Not available in this setting$227.03RVU24AR
2024-01-01Not available in this setting$223.32RVU24A
2023-10-01Not available in this setting$230.25RVU23D
2023-07-01Not available in this setting$230.43RVU23C
2023-04-01Not available in this setting$230.43RVU23B
2023-01-01Not available in this setting$230.43RVU23A
2022-10-01Not available in this setting$236.92RVU22D
2022-07-01Not available in this setting$236.92RVU22C
2022-04-01Not available in this setting$236.92RVU22B
2022-01-01Not available in this setting$236.92RVU22A
2021-10-01Not available in this setting$238.55RVU21D
2021-07-01Not available in this setting$238.55RVU21C
2021-04-01Not available in this setting$238.55RVU21B
2021-01-01Not available in this setting$238.55RVU21A
2020-10-01Not available in this setting$244.99RVU20D
2020-07-01Not available in this setting$244.99RVU20C
2020-04-01Not available in this setting$244.99RVU20B
2020-01-01Not available in this setting$244.99RVU20A
2019-10-01Not available in this setting$246.46RVU19D
2019-07-01Not available in this setting$246.46RVU19C
2019-04-01Not available in this setting$245.03RVU19B
2019-01-01Not available in this setting$245.03RVU19A
2018-10-01Not available in this setting$246.92RVU18D
2018-07-01Not available in this setting$246.92RVU18C
2018-04-01Not available in this setting$246.92RVU18B
2018-01-01Not available in this setting$246.92RVU18AR1
2017-10-01Not available in this setting$226.78RVU17D
2017-07-01Not available in this setting$226.78RVU17C
2017-04-01Not available in this setting$226.78RVU17B
2017-01-01Not available in this setting$226.78RVU17A
2016-10-01Not available in this setting$208.59RVU16D
2016-07-01Not available in this setting$208.59RVU16C
2016-04-01Not available in this setting$208.59RVU16B
2016-01-01Not available in this setting$208.59RVU16A
2015-10-01Not available in this setting$205.98RVU15D
2015-07-01Not available in this setting$205.98RVU15C
2015-04-01Not available in this setting$204.96RVU15B
2015-01-01Not available in this setting$204.96RVU15A
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 33962 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 33962PPRRVU2026_Oct_nonQPP.csv, line 4,147 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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