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.
In Puerto Rico, Medicare pays $215.96 for 33962 in a facility. There’s no office rate.
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.
On this page 11 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.
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.
- Puerto Rico · this page$215.96
- Los Angeles, CA · California$216.60+$0.64
- Washington, DC area · District of Columbia$234.21+$18.25
- Miami, FL · Florida$271.68+$55.72
- Chicago, IL · Illinois$263.15+$47.19
- Manhattan, NY · New York$251.85+$35.89
- Alaska · Alaska$275.30+$59.34
Other areas in Puerto Rico 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 |
| MontanaMontana | — | $216.03 |
| 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 |
| 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 |
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
| 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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.36 | × 1.000 | 4.3600 |
| Practice expense | 1.05 | × 1.011 | 1.0615 |
| Malpractice | 1.06 | × 0.985 | 1.0441 |
| Total RVUs | 6.4657 | ||
| 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
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%).
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.
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 | $215.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $215.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $215.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $215.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $221.28 | RVU25D |
| 2025-07-01 | Not available in this setting | $221.28 | RVU25C |
| 2025-04-01 | Not available in this setting | $221.28 | RVU25B |
| 2025-01-01 | Not available in this setting | $221.28 | RVU25A |
| 2024-10-01 | Not available in this setting | $227.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $227.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $227.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $227.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $223.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $230.25 | RVU23D |
| 2023-07-01 | Not available in this setting | $230.43 | RVU23C |
| 2023-04-01 | Not available in this setting | $230.43 | RVU23B |
| 2023-01-01 | Not available in this setting | $230.43 | RVU23A |
| 2022-10-01 | Not available in this setting | $236.92 | RVU22D |
| 2022-07-01 | Not available in this setting | $236.92 | RVU22C |
| 2022-04-01 | Not available in this setting | $236.92 | RVU22B |
| 2022-01-01 | Not available in this setting | $236.92 | RVU22A |
| 2021-10-01 | Not available in this setting | $238.55 | RVU21D |
| 2021-07-01 | Not available in this setting | $238.55 | RVU21C |
| 2021-04-01 | Not available in this setting | $238.55 | RVU21B |
| 2021-01-01 | Not available in this setting | $238.55 | RVU21A |
| 2020-10-01 | Not available in this setting | $244.99 | RVU20D |
| 2020-07-01 | Not available in this setting | $244.99 | RVU20C |
| 2020-04-01 | Not available in this setting | $244.99 | RVU20B |
| 2020-01-01 | Not available in this setting | $244.99 | RVU20A |
| 2019-10-01 | Not available in this setting | $246.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $246.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $245.03 | RVU19B |
| 2019-01-01 | Not available in this setting | $245.03 | RVU19A |
| 2018-10-01 | Not available in this setting | $246.92 | RVU18D |
| 2018-07-01 | Not available in this setting | $246.92 | RVU18C |
| 2018-04-01 | Not available in this setting | $246.92 | RVU18B |
| 2018-01-01 | Not available in this setting | $246.92 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $226.78 | RVU17D |
| 2017-07-01 | Not available in this setting | $226.78 | RVU17C |
| 2017-04-01 | Not available in this setting | $226.78 | RVU17B |
| 2017-01-01 | Not available in this setting | $226.78 | RVU17A |
| 2016-10-01 | Not available in this setting | $208.59 | RVU16D |
| 2016-07-01 | Not available in this setting | $208.59 | RVU16C |
| 2016-04-01 | Not available in this setting | $208.59 | RVU16B |
| 2016-01-01 | Not available in this setting | $208.59 | RVU16A |
| 2015-10-01 | Not available in this setting | $205.98 | RVU15D |
| 2015-07-01 | Not available in this setting | $205.98 | RVU15C |
| 2015-04-01 | Not available in this setting | $204.96 | RVU15B |
| 2015-01-01 | Not available in this setting | $204.96 | 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 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
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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