CPT code 33963: ECMO cannula repositioning, peripheral cannula2026 Medicare rate & RVUs in New Mexico
Report this procedure when a physician repositions an existing peripheral ECMO or ECLS cannula to address a documented positioning problem.
In New Mexico, Medicare pays $437.23 for 33963 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33963 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 33963 covers
This procedure addresses the position of a peripheral cannula already in use for extracorporeal membrane oxygenation (ECMO) or extracorporeal life support (ECLS). A physician adjusts an arterial or venous cannula, such as one placed through femoral or jugular vessels, when its position interferes with support or creates another documented concern. The work may occur in an intensive care unit or operating room and is distinct from placing a new cannula or removing one at the end of support.
Report 33963 for the documented peripheral cannula repositioning procedure, not for routine monitoring or circuit management alone. The procedure note should identify the cannula and access site, the reason for adjustment, and the repositioning performed. CMS assigns a 0-day global period, so routine preoperative and postoperative care on the procedure date is included. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 is inappropriate. Payment for an assistant at surgery, co-surgeons, or a surgical team requires supporting documentation.
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 New Mexico compares for 33963
Across 109 of 109 payment localities, the facility rate for 33963 runs from $377.26 in Wisconsin to $547.90 in Alaska. New Mexico pays $437.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$437.23
- Los Angeles, CA · California$428.91−$8.32
- Washington, DC area · District of Columbia$463.89+$26.66
- Miami, FL · Florida$538.45+$101.22
- Chicago, IL · Illinois$521.75+$84.52
- Manhattan, NY · New York$498.96+$61.73
- Alaska · Alaska$547.90+$110.67
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $389.95 |
| ArkansasArkansas | — | $385.33 |
| ArizonaArizona | — | $416.41 |
| Bakersfield, CACalifornia | — | $412.93 |
| Chico, CACalifornia | — | $407.23 |
| El Centro, CACalifornia | — | $407.58 |
| Fresno, CACalifornia | — | $407.23 |
| Hanford, CACalifornia | — | $407.23 |
| Madera, CACalifornia | — | $407.23 |
| Merced, CACalifornia | — | $407.23 |
| Modesto, CACalifornia | — | $407.23 |
| Napa, CACalifornia | — | $433.21 |
| Oxnard, CACalifornia | — | $422.16 |
| Redding, CACalifornia | — | $407.23 |
| Rest of CaliforniaCalifornia | — | $407.23 |
| Riverside, CACalifornia | — | $429.75 |
| Sacramento, CACalifornia | — | $417.16 |
| Salinas, CACalifornia | — | $415.43 |
| San Diego, CACalifornia | — | $417.97 |
| Marin County, CACalifornia | — | $445.15 |
| San Francisco, CACalifornia | — | $442.77 |
| San Benito County, CACalifornia | — | $457.03 |
| Santa Clara County, CACalifornia | — | $447.28 |
| San Luis Obispo, CACalifornia | — | $410.03 |
| Santa Cruz, CACalifornia | — | $416.15 |
| Santa Maria, CACalifornia | — | $415.01 |
| Santa Rosa, CACalifornia | — | $419.64 |
| Stockton, CACalifornia | — | $407.23 |
| Vallejo, CACalifornia | — | $429.77 |
| Visalia, CACalifornia | — | $407.23 |
| Yuba City, CACalifornia | — | $407.23 |
| ColoradoColorado | — | $420.86 |
| ConnecticutConnecticut | — | $454.14 |
| DelawareDelaware | — | $422.13 |
| Fort Lauderdale, FLFlorida | — | $486.05 |
| Rest of FloridaFlorida | — | $460.95 |
| Atlanta, GAGeorgia | — | $444.55 |
| Rest of GeorgiaGeorgia | — | $434.97 |
| Hawaii, Guam, HIHawaii | — | $407.93 |
| IowaIowa | — | $380.70 |
| IdahoIdaho | — | $386.36 |
| East St. Louis, ILIllinois | — | $494.45 |
| Rest of IllinoisIllinois | — | $462.36 |
| Suburban Chicago, ILIllinois | — | $486.49 |
| IndianaIndiana | — | $387.73 |
| KansasKansas | — | $387.49 |
| KentuckyKentucky | — | $415.34 |
| New Orleans, LALouisiana | — | $434.23 |
| Rest of LouisianaLouisiana | — | $418.10 |
| Metropolitan Boston, MAMassachusetts | — | $445.48 |
| Rest of MassachusettsMassachusetts | — | $422.44 |
| Baltimore area, MDMaryland | — | $454.60 |
| Rest of MarylandMaryland | — | $426.50 |
| Rest of MaineMaine | — | $396.81 |
| Southern Maine, MEMaine | — | $402.07 |
| Detroit, MIMichigan | — | $474.37 |
| Rest of MichiganMichigan | — | $431.92 |
| MinnesotaMinnesota | — | $381.04 |
| Metropolitan Kansas City, MOMissouri | — | $422.95 |
| Metropolitan St. Louis, MOMissouri | — | $425.55 |
| Rest of MissouriMissouri | — | $417.72 |
| MississippiMississippi | — | $401.17 |
| MontanaMontana | — | $428.39 |
| North CarolinaNorth Carolina | — | $398.85 |
| North DakotaNorth Dakota | — | $386.87 |
| NebraskaNebraska | — | $379.89 |
| New HampshireNew Hampshire | — | $422.44 |
| Northern New JerseyNew Jersey | — | $462.20 |
| Rest of New JerseyNew Jersey | — | $453.06 |
| NevadaNevada | — | $416.88 |
| NYC suburbs and Long Island, NYNew York | — | $519.72 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $462.65 |
| Queens, NYNew York | — | $490.16 |
| Rest of New YorkNew York | — | $404.44 |
| OhioOhio | — | $423.43 |
| OklahomaOklahoma | — | $405.92 |
| Portland, OROregon | — | $422.50 |
| Rest of OregonOregon | — | $407.44 |
| Metropolitan Philadelphia, PAPennsylvania | — | $450.02 |
| Rest of PennsylvaniaPennsylvania | — | $419.33 |
| Puerto RicoPuerto Rico | — | $428.20 |
| Rhode IslandRhode Island | — | $428.68 |
| South CarolinaSouth Carolina | — | $413.06 |
| South DakotaSouth Dakota | — | $381.96 |
| TennesseeTennessee | — | $390.13 |
| Austin, TXTexas | — | $424.90 |
| Beaumont, TXTexas | — | $417.69 |
| Brazoria, TXTexas | — | $414.86 |
| Dallas, TXTexas | — | $420.95 |
| Fort Worth, TXTexas | — | $421.21 |
| Galveston, TXTexas | — | $418.36 |
| Houston, TXTexas | — | $456.80 |
| Rest of TexasTexas | — | $418.41 |
| UtahUtah | — | $417.47 |
| VirginiaVirginia | — | $406.80 |
| Virgin Islands, VIUnited States Virgin Islands | — | $428.20 |
| VermontVermont | — | $393.23 |
| Rest of WashingtonWashington | — | $419.03 |
| King County, WAWashington | — | $445.15 |
| WisconsinWisconsin | — | $377.26 |
| West VirginiaWest Virginia | — | $450.23 |
| WyomingWyoming | — | $410.30 |
33963 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 33963 rate is calculated
Each of 33963’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 · 33963
RVUs × geographic indexes × conversion factor
Work8.78
8.78 RVUs× 1.000 GPCI
Practice expense1.95
1.95 RVUs× 1.000 GPCI
Malpractice2.10
2.10 RVUs× 1.000 GPCI
Adjusted RVUs
12.8300
Conversion factor
$33.4009
Medicare rate
$428.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,148
- Code
- 33963
- Physician work
- 8.78
- Practice expense
- 1.95
- Malpractice
- 2.10
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.000 | 8.7800 |
| Practice expense | 1.95 | × 0.917 | 1.7882 |
| Malpractice | 2.10 | × 1.201 | 2.5221 |
| Total RVUs | 13.0902 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$437.23
Facility: (8.78 × 1 + 1.95 × 0.917 + 2.1 × 1.201) × $33.4009 = $437.23
Payment rules and modifiers for 33963
The CMS indicators that decide how 33963 is paid alongside other services.
CMS payment indicators · 33963
ECMO cannula repositioning, peripheral cannula
| 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) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33963 without 51 · national facility
$428.53
ECMO cannula repositioning, peripheral cannula
33963-51 · Second procedure: 50%
$214.27
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 33963 has changed in New Mexico
33963 · 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 | $437.23 | RVU26D |
| 2026-07-01 | Not available in this setting | $437.23 | RVU26C |
| 2026-04-01 | Not available in this setting | $437.23 | RVU26B |
| 2026-01-01 | Not available in this setting | $437.23 | RVU26A |
| 2025-10-01 | Not available in this setting | $444.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $444.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $444.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $444.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $456.60 | RVU24D |
| 2024-07-01 | Not available in this setting | $456.60 | RVU24C |
| 2024-04-01 | Not available in this setting | $456.60 | RVU24B |
| 2024-03-09 | Not available in this setting | $456.60 | RVU24AR |
| 2024-01-01 | Not available in this setting | $449.15 | RVU24A |
| 2023-10-01 | Not available in this setting | $463.87 | RVU23D |
| 2023-07-01 | Not available in this setting | $463.87 | RVU23C |
| 2023-04-01 | Not available in this setting | $463.87 | RVU23B |
| 2023-01-01 | Not available in this setting | $463.87 | RVU23A |
| 2022-10-01 | Not available in this setting | $476.59 | RVU22D |
| 2022-07-01 | Not available in this setting | $476.59 | RVU22C |
| 2022-04-01 | Not available in this setting | $476.59 | RVU22B |
| 2022-01-01 | Not available in this setting | $476.59 | RVU22A |
| 2021-10-01 | Not available in this setting | $478.32 | RVU21D |
| 2021-07-01 | Not available in this setting | $478.32 | RVU21C |
| 2021-04-01 | Not available in this setting | $478.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $478.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $496.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $496.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $496.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $496.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $504.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $504.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $504.60 | RVU19B |
| 2019-01-01 | Not available in this setting | $504.60 | RVU19A |
| 2018-10-01 | Not available in this setting | $503.48 | RVU18D |
| 2018-07-01 | Not available in this setting | $503.48 | RVU18C |
| 2018-04-01 | Not available in this setting | $503.48 | RVU18B |
| 2018-01-01 | Not available in this setting | $503.48 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $492.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $492.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $492.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $492.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $489.52 | RVU16D |
| 2016-07-01 | Not available in this setting | $489.52 | RVU16C |
| 2016-04-01 | Not available in this setting | $489.52 | RVU16B |
| 2016-01-01 | Not available in this setting | $489.52 | RVU16A |
| 2015-10-01 | Not available in this setting | $528.17 | RVU15D |
| 2015-07-01 | Not available in this setting | $528.17 | RVU15C |
| 2015-04-01 | Not available in this setting | $525.54 | RVU15B |
| 2015-01-01 | Not available in this setting | $525.54 | 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 New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
33963 billing questions
When is 33963 reported instead of a peripheral cannula insertion code?
Use 33963 for repositioning an existing peripheral ECMO or ECLS cannula. Codes such as 33951 describe insertion rather than adjustment of a cannula already in place.
Does routine ECMO management support reporting 33963?
No. The record must describe a procedure that repositions the peripheral cannula; monitoring circuit performance alone does not establish that work.
Is same-day care separately included with 33963?
CMS assigns a 0-day global period, which includes routine preoperative and postoperative care on the procedure date.
Should modifier 50 be used if more than one peripheral cannula is adjusted?
No. CMS does not apply a bilateral adjustment to 33963, and modifier 50 is inappropriate.
What supports payment for additional surgeons on 33963?
An assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery also require supporting documentation.
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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