CPT code 33966: ECMO cannula removal, peripheral, open approach2026 Medicare rate & RVUs in Delaware
Reports open surgical removal of peripheral ECMO or ECLS cannulae when extracorporeal support ends and the cannula is removed through an operative approach.
In Delaware, Medicare pays $212.61 for 33966 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33966 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 33966 covers
This service covers surgical removal of peripheral cannulae used for extracorporeal membrane oxygenation or extracorporeal life support. A surgeon, commonly a cardiothoracic or vascular surgeon, removes the cannula through an open approach, typically in a hospital operating room or intensive care setting when a patient is ready to come off extracorporeal support. The service concerns removal of the cannula, not its initial placement or repositioning.
Select this code when the documented removal uses an open approach and matches the code’s cannula and patient criteria; distinguish it from the percutaneous removal variant. The operative note should identify the peripheral cannula removed and describe the open removal. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 Delaware compares for 33966
Across 109 of 109 payment localities, the facility rate for 33966 runs from $190.50 in Wisconsin to $275.90 in Alaska. Delaware pays $212.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$212.61
- Los Angeles, CA · California$216.58+$3.97
- Washington, DC area · District of Columbia$233.76+$21.15
- Miami, FL · Florida$269.80+$57.19
- Chicago, IL · Illinois$261.52+$48.91
- Manhattan, NY · New York$250.94+$38.33
- Alaska · Alaska$275.90+$63.29
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $196.50 |
| ArkansasArkansas | — | $194.19 |
| ArizonaArizona | — | $209.74 |
| Bakersfield, CACalifornia | — | $208.44 |
| Chico, CACalifornia | — | $205.63 |
| El Centro, CACalifornia | — | $205.81 |
| Fresno, CACalifornia | — | $205.63 |
| Hanford, CACalifornia | — | $205.63 |
| Madera, CACalifornia | — | $205.63 |
| Merced, CACalifornia | — | $205.63 |
| Modesto, CACalifornia | — | $205.63 |
| Napa, CACalifornia | — | $219.13 |
| Oxnard, CACalifornia | — | $213.23 |
| Redding, CACalifornia | — | $205.63 |
| Rest of CaliforniaCalifornia | — | $205.63 |
| Riverside, CACalifornia | — | $216.69 |
| Sacramento, CACalifornia | — | $210.75 |
| Salinas, CACalifornia | — | $209.88 |
| San Diego, CACalifornia | — | $211.22 |
| Marin County, CACalifornia | — | $225.33 |
| San Francisco, CACalifornia | — | $224.16 |
| San Benito County, CACalifornia | — | $231.29 |
| Santa Clara County, CACalifornia | — | $226.51 |
| San Luis Obispo, CACalifornia | — | $207.13 |
| Santa Cruz, CACalifornia | — | $210.35 |
| Santa Maria, CACalifornia | — | $209.68 |
| Santa Rosa, CACalifornia | — | $212.13 |
| Stockton, CACalifornia | — | $205.63 |
| Vallejo, CACalifornia | — | $217.44 |
| Visalia, CACalifornia | — | $205.63 |
| Yuba City, CACalifornia | — | $205.63 |
| ColoradoColorado | — | $212.22 |
| ConnecticutConnecticut | — | $228.60 |
| Fort Lauderdale, FLFlorida | — | $244.02 |
| Rest of FloridaFlorida | — | $231.55 |
| Atlanta, GAGeorgia | — | $223.68 |
| Rest of GeorgiaGeorgia | — | $218.62 |
| Hawaii, Guam, HIHawaii | — | $206.05 |
| IowaIowa | — | $192.07 |
| IdahoIdaho | — | $194.86 |
| East St. Louis, ILIllinois | — | $247.88 |
| Rest of IllinoisIllinois | — | $232.12 |
| Suburban Chicago, ILIllinois | — | $244.29 |
| IndianaIndiana | — | $195.55 |
| KansasKansas | — | $195.37 |
| KentuckyKentucky | — | $208.99 |
| New Orleans, LALouisiana | — | $218.40 |
| Rest of LouisianaLouisiana | — | $210.33 |
| Metropolitan Boston, MAMassachusetts | — | $224.74 |
| Rest of MassachusettsMassachusetts | — | $212.97 |
| Baltimore area, MDMaryland | — | $228.81 |
| Rest of MarylandMaryland | — | $214.83 |
| Rest of MaineMaine | — | $199.99 |
| Southern Maine, MEMaine | — | $202.76 |
| Detroit, MIMichigan | — | $238.15 |
| Rest of MichiganMichigan | — | $217.19 |
| MinnesotaMinnesota | — | $192.56 |
| Metropolitan Kansas City, MOMissouri | — | $212.86 |
| Metropolitan St. Louis, MOMissouri | — | $214.17 |
| Rest of MissouriMissouri | — | $210.08 |
| MississippiMississippi | — | $201.96 |
| MontanaMontana | — | $215.70 |
| North CarolinaNorth Carolina | — | $201.02 |
| North DakotaNorth Dakota | — | $195.33 |
| NebraskaNebraska | — | $191.70 |
| New HampshireNew Hampshire | — | $212.89 |
| Northern New JerseyNew Jersey | — | $232.90 |
| Rest of New JerseyNew Jersey | — | $228.17 |
| New MexicoNew Mexico | — | $219.80 |
| NevadaNevada | — | $210.06 |
| NYC suburbs and Long Island, NYNew York | — | $261.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $232.89 |
| Queens, NYNew York | — | $246.68 |
| Rest of New YorkNew York | — | $203.82 |
| OhioOhio | — | $213.02 |
| OklahomaOklahoma | — | $204.38 |
| Portland, OROregon | — | $213.16 |
| Rest of OregonOregon | — | $205.41 |
| Metropolitan Philadelphia, PAPennsylvania | — | $226.47 |
| Rest of PennsylvaniaPennsylvania | — | $211.03 |
| Puerto RicoPuerto Rico | — | $215.64 |
| Rhode IslandRhode Island | — | $215.99 |
| South CarolinaSouth Carolina | — | $207.97 |
| South DakotaSouth Dakota | — | $192.93 |
| TennesseeTennessee | — | $196.68 |
| Austin, TXTexas | — | $214.16 |
| Beaumont, TXTexas | — | $210.20 |
| Brazoria, TXTexas | — | $209.06 |
| Dallas, TXTexas | — | $212.07 |
| Fort Worth, TXTexas | — | $212.17 |
| Galveston, TXTexas | — | $210.78 |
| Houston, TXTexas | — | $229.64 |
| Rest of TexasTexas | — | $210.66 |
| UtahUtah | — | $210.18 |
| VirginiaVirginia | — | $205.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $215.64 |
| VermontVermont | — | $198.43 |
| Rest of WashingtonWashington | — | $211.29 |
| King County, WAWashington | — | $224.69 |
| WisconsinWisconsin | — | $190.50 |
| West VirginiaWest Virginia | — | $226.05 |
| WyomingWyoming | — | $206.83 |
33966 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 33966 rate is calculated
Each of 33966’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 · 33966
RVUs × geographic indexes × conversion factor
Work4.39
4.39 RVUs× 1.000 GPCI
Practice expense1.04
1.04 RVUs× 1.000 GPCI
Malpractice1.03
1.03 RVUs× 1.000 GPCI
Adjusted RVUs
6.4600
Conversion factor
$33.4009
Medicare rate
$215.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,151
- Code
- 33966
- Physician work
- 4.39
- Practice expense
- 1.04
- Malpractice
- 1.03
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.39 | × 1.005 | 4.4119 |
| Practice expense | 1.04 | × 0.988 | 1.0275 |
| Malpractice | 1.03 | × 0.899 | 0.9260 |
| Total RVUs | 6.3654 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$212.61
Facility: (4.39 × 1.005 + 1.04 × 0.988 + 1.03 × 0.899) × $33.4009 = $212.61
Payment rules and modifiers for 33966
The CMS indicators that decide how 33966 is paid alongside other services.
CMS payment indicators · 33966
ECMO cannula removal, peripheral, open approach
| 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
33966 without 51 · national facility
$215.77
ECMO cannula removal, peripheral, open approach
33966-51 · Second procedure: 50%
$107.89
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 33966 has changed in Delaware
33966 · 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 | $212.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $212.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $212.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $212.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $224.08 | RVU25D |
| 2025-07-01 | Not available in this setting | $224.08 | RVU25C |
| 2025-04-01 | Not available in this setting | $224.08 | RVU25B |
| 2025-01-01 | Not available in this setting | $224.08 | RVU25A |
| 2024-10-01 | Not available in this setting | $230.23 | RVU24D |
| 2024-07-01 | Not available in this setting | $230.23 | RVU24C |
| 2024-04-01 | Not available in this setting | $230.23 | RVU24B |
| 2024-03-09 | Not available in this setting | $230.23 | RVU24AR |
| 2024-01-01 | Not available in this setting | $226.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $232.85 | RVU23D |
| 2023-07-01 | Not available in this setting | $232.85 | RVU23C |
| 2023-04-01 | Not available in this setting | $232.85 | RVU23B |
| 2023-01-01 | Not available in this setting | $232.85 | RVU23A |
| 2022-10-01 | Not available in this setting | $238.84 | RVU22D |
| 2022-07-01 | Not available in this setting | $238.84 | RVU22C |
| 2022-04-01 | Not available in this setting | $238.84 | RVU22B |
| 2022-01-01 | Not available in this setting | $238.84 | RVU22A |
| 2021-10-01 | Not available in this setting | $240.53 | RVU21D |
| 2021-07-01 | Not available in this setting | $240.53 | RVU21C |
| 2021-04-01 | Not available in this setting | $240.53 | RVU21B |
| 2021-01-01 | Not available in this setting | $240.53 | RVU21A |
| 2020-10-01 | Not available in this setting | $250.78 | RVU20D |
| 2020-07-01 | Not available in this setting | $250.78 | RVU20C |
| 2020-04-01 | Not available in this setting | $250.78 | RVU20B |
| 2020-01-01 | Not available in this setting | $250.78 | RVU20A |
| 2019-10-01 | Not available in this setting | $255.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $255.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $255.46 | RVU19B |
| 2019-01-01 | Not available in this setting | $255.46 | RVU19A |
| 2018-10-01 | Not available in this setting | $254.37 | RVU18D |
| 2018-07-01 | Not available in this setting | $254.37 | RVU18C |
| 2018-04-01 | Not available in this setting | $254.37 | RVU18B |
| 2018-01-01 | Not available in this setting | $254.37 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $254.63 | RVU17D |
| 2017-07-01 | Not available in this setting | $254.63 | RVU17C |
| 2017-04-01 | Not available in this setting | $254.63 | RVU17B |
| 2017-01-01 | Not available in this setting | $254.63 | RVU17A |
| 2016-10-01 | Not available in this setting | $252.40 | RVU16D |
| 2016-07-01 | Not available in this setting | $252.40 | RVU16C |
| 2016-04-01 | Not available in this setting | $252.40 | RVU16B |
| 2016-01-01 | Not available in this setting | $252.40 | RVU16A |
| 2015-10-01 | Not available in this setting | $255.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $255.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $254.39 | RVU15B |
| 2015-01-01 | Not available in this setting | $254.39 | 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 Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
33966 billing questions
How is this code distinguished from 33965?
This code is for open removal of peripheral ECMO/ECLS cannulae; 33965 is the percutaneous removal counterpart. Use the approach documented in the operative report.
Does this code include initial cannula placement or repositioning?
No. It represents cannula removal. Placement and repositioning are separate services with their own codes and documentation requirements.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included. The global period does not extend beyond the day of the procedure.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
Can modifier 50 be used for bilateral removal?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this descriptor and anatomy.
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
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