CPT code 33969: ECMO cannula removal, peripheral, percutaneous2026 Medicare rate & RVUs in Mississippi

Reports percutaneous removal of a peripheral ECMO/ECLS cannula when extracorporeal support is discontinued and the cannula is removed.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $234.35 for 33969 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$234.35Hospital or facility

Check a contract rate as a % of Medicare · 33969 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 33969 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 33969 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 33969 covers

This service covers percutaneous removal of a peripheral cannula used for extracorporeal membrane oxygenation or extracorporeal life support. It is performed during decannulation when the patient no longer needs extracorporeal support; the cannula may have been placed through a peripheral vessel such as the femoral artery or vein. A cardiovascular surgeon or another physician managing the patient’s ECMO care may perform the removal in a hospital setting.

Choose this code for the percutaneous removal procedure, not for cannula repositioning or daily ECMO management. Documentation should identify the peripheral cannula removed, its site, the percutaneous approach, and the decannulation work performed. 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. Do not append modifier 50. 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 Mississippi compares for 33969

Across 109 of 109 payment localities, the facility rate for 33969 runs from $220.64 in Wisconsin to $319.80 in Alaska. Mississippi pays $234.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

33969 in Mississippi vs other payment areas
  1. Mississippi · this page$234.35
  2. Los Angeles, CA · California$251.06+$16.71
  3. Washington, DC area · District of Columbia$271.37+$37.02
  4. Miami, FL · Florida$314.44+$80.09
  5. Chicago, IL · Illinois$304.67+$70.32
  6. Manhattan, NY · New York$291.71+$57.36
  7. Alaska · Alaska$319.80+$85.45

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

Every other payment area

33969 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$227.85
ArkansasArkansas—$225.14
ArizonaArizona—$243.41
Bakersfield, CACalifornia—$241.62
Chico, CACalifornia—$238.31
El Centro, CACalifornia—$238.51
Fresno, CACalifornia—$238.31
Hanford, CACalifornia—$238.31

33969 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
33969 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 33969 in every payment locality

How the 33969 rate is calculated

Each of 33969’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 · 33969

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.09

5.09 RVUs× 1.000 GPCI

Practice expense1.19

1.19 RVUs× 1.000 GPCI

Malpractice1.22

1.22 RVUs× 1.000 GPCI

Adjusted RVUs

7.5000

Conversion factor

$33.4009

Medicare rate

$250.51

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,154

Code
33969
Physician work
5.09
Practice expense
1.19
Malpractice
1.22

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 33969 in Mississippi
ComponentRVULocality factorAdjusted
Physician work5.09× 1.0005.0900
Practice expense1.19× 0.8611.0246
Malpractice1.22× 0.7390.9016
Total RVUs7.0162
Conversion factor× 33.4009

Facility rate, Mississippi$234.35

Facility: (5.09 × 1 + 1.19 × 0.861 + 1.22 × 0.739) × $33.4009 = $234.35

Open 33969 in the RVU calculator

Payment rules and modifiers for 33969

The CMS indicators that decide how 33969 is paid alongside other services.

CMS payment indicators · 33969

ECMO cannula removal, peripheral, percutaneous

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

33969 without 51 · national facility

$250.51

ECMO cannula removal, peripheral, percutaneous

33969-51 · Second procedure: 50%

$125.26

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 33969 has changed in Mississippi

33969 · 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$234.35RVU26D
2026-07-01Not available in this setting$234.35RVU26C
2026-04-01Not available in this setting$234.35RVU26B
2026-01-01Not available in this setting$234.35RVU26A
2025-10-01Not available in this setting$240.60RVU25D
2025-07-01Not available in this setting$240.60RVU25C
2025-04-01Not available in this setting$240.60RVU25B
2025-01-01Not available in this setting$240.60RVU25A
2024-10-01Not available in this setting$247.24RVU24D
2024-07-01Not available in this setting$247.24RVU24C
2024-04-01Not available in this setting$247.24RVU24B
2024-03-09Not available in this setting$247.24RVU24AR
2024-01-01Not available in this setting$243.20RVU24A
2023-10-01Not available in this setting$249.88RVU23D
2023-07-01Not available in this setting$249.88RVU23C
2023-04-01Not available in this setting$249.88RVU23B
2023-01-01Not available in this setting$249.88RVU23A
2022-10-01Not available in this setting$253.61RVU22D
2022-07-01Not available in this setting$253.61RVU22C
2022-04-01Not available in this setting$253.61RVU22B
2022-01-01Not available in this setting$253.61RVU22A
2021-10-01Not available in this setting$255.60RVU21D
2021-07-01Not available in this setting$255.60RVU21C
2021-04-01Not available in this setting$255.60RVU21B
2021-01-01Not available in this setting$255.60RVU21A
2020-10-01Not available in this setting$257.34RVU20D
2020-07-01Not available in this setting$257.34RVU20C
2020-04-01Not available in this setting$257.34RVU20B
2020-01-01Not available in this setting$257.34RVU20A
2019-10-01Not available in this setting$252.50RVU19D
2019-07-01Not available in this setting$252.50RVU19C
2019-04-01Not available in this setting$252.50RVU19B
2019-01-01Not available in this setting$252.50RVU19A
2018-10-01Not available in this setting$252.40RVU18D
2018-07-01Not available in this setting$252.40RVU18C
2018-04-01Not available in this setting$252.40RVU18B
2018-01-01Not available in this setting$252.40RVU18AR1
2017-10-01Not available in this setting$258.53RVU17D
2017-07-01Not available in this setting$258.53RVU17C
2017-04-01Not available in this setting$258.53RVU17B
2017-01-01Not available in this setting$258.53RVU17A
2016-10-01Not available in this setting$266.83RVU16D
2016-07-01Not available in this setting$266.83RVU16C
2016-04-01Not available in this setting$266.83RVU16B
2016-01-01Not available in this setting$266.83RVU16A
2015-10-01Not available in this setting$278.67RVU15D
2015-07-01Not available in this setting$278.67RVU15C
2015-04-01Not available in this setting$277.29RVU15B
2015-01-01Not available in this setting$277.29RVU15A
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 33969 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

33969 billing questions

How does this differ from 33965 or 33966?

This code is for percutaneous removal of a peripheral ECMO/ECLS cannula. Codes 33965 and 33966 describe removal by an open approach.

Can this code be used for cannula repositioning?

No. Repositioning a peripheral ECMO/ECLS cannula is a different service; use the applicable repositioning code when the cannula is moved rather than removed.

Is daily ECMO management included in this removal service?

The code represents the percutaneous cannula removal procedure, not daily ECMO management. Document the decannulation work separately from routine management activities.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this service.

When is an assistant-at-surgery payment supported?

CMS allows assistant-at-surgery payment only when the record documents medical necessity for the assistant.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.

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 33969PPRRVU2026_Oct_nonQPP.csv, line 4,154 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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