CPT code 33969: ECMO cannula removal, peripheral, percutaneous2026 Medicare rate & RVUs in Montana
Reports percutaneous removal of a peripheral ECMO/ECLS cannula when extracorporeal support is discontinued and the cannula is removed.
In Montana, Medicare pays $250.43 for 33969 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Montana 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. Montana pays $250.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$250.43
- Los Angeles, CA · California$251.06+$0.63
- Washington, DC area · District of Columbia$271.37+$20.94
- Miami, FL · Florida$314.44+$64.01
- Chicago, IL · Illinois$304.67+$54.24
- Manhattan, NY · New York$291.71+$41.28
- Alaska · Alaska$319.80+$69.37
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $238.31 |
| Merced, CACalifornia | — | $238.31 |
| Modesto, CACalifornia | — | $238.31 |
| Napa, CACalifornia | — | $253.81 |
| Oxnard, CACalifornia | — | $247.14 |
| Redding, CACalifornia | — | $238.31 |
| Rest of CaliforniaCalifornia | — | $238.31 |
| Riverside, CACalifornia | — | $251.39 |
| Sacramento, CACalifornia | — | $244.20 |
| Salinas, CACalifornia | — | $243.19 |
| San Diego, CACalifornia | — | $244.73 |
| Marin County, CACalifornia | — | $260.91 |
| San Francisco, CACalifornia | — | $259.52 |
| San Benito County, CACalifornia | — | $267.87 |
| Santa Clara County, CACalifornia | — | $262.20 |
| San Luis Obispo, CACalifornia | — | $240.01 |
| Santa Cruz, CACalifornia | — | $243.72 |
| Santa Maria, CACalifornia | — | $242.96 |
| Santa Rosa, CACalifornia | — | $245.76 |
| Stockton, CACalifornia | — | $238.31 |
| Vallejo, CACalifornia | — | $251.81 |
| Visalia, CACalifornia | — | $238.31 |
| Yuba City, CACalifornia | — | $238.31 |
| ColoradoColorado | — | $246.17 |
| ConnecticutConnecticut | — | $265.52 |
| DelawareDelaware | — | $246.76 |
| Fort Lauderdale, FLFlorida | — | $283.95 |
| Rest of FloridaFlorida | — | $269.25 |
| Atlanta, GAGeorgia | — | $259.84 |
| Rest of GeorgiaGeorgia | — | $254.04 |
| Hawaii, Guam, HIHawaii | — | $238.80 |
| IowaIowa | — | $222.56 |
| IdahoIdaho | — | $225.85 |
| East St. Louis, ILIllinois | — | $288.65 |
| Rest of IllinoisIllinois | — | $269.99 |
| Suburban Chicago, ILIllinois | — | $284.23 |
| IndianaIndiana | — | $226.66 |
| KansasKansas | — | $226.48 |
| KentuckyKentucky | — | $242.63 |
| New Orleans, LALouisiana | — | $253.70 |
| Rest of LouisianaLouisiana | — | $244.22 |
| Metropolitan Boston, MAMassachusetts | — | $260.71 |
| Rest of MassachusettsMassachusetts | — | $247.06 |
| Baltimore area, MDMaryland | — | $265.79 |
| Rest of MarylandMaryland | — | $249.34 |
| Rest of MaineMaine | — | $231.92 |
| Southern Maine, MEMaine | — | $235.11 |
| Detroit, MIMichigan | — | $277.07 |
| Rest of MichiganMichigan | — | $252.31 |
| MinnesotaMinnesota | — | $222.97 |
| Metropolitan Kansas City, MOMissouri | — | $247.14 |
| Metropolitan St. Louis, MOMissouri | — | $248.68 |
| Rest of MissouriMissouri | — | $243.96 |
| MississippiMississippi | — | $234.35 |
| North CarolinaNorth Carolina | — | $233.13 |
| North DakotaNorth Dakota | — | $226.30 |
| NebraskaNebraska | — | $222.10 |
| New HampshireNew Hampshire | — | $247.04 |
| Northern New JerseyNew Jersey | — | $270.35 |
| Rest of New JerseyNew Jersey | — | $264.92 |
| New MexicoNew Mexico | — | $255.40 |
| NevadaNevada | — | $243.74 |
| NYC suburbs and Long Island, NYNew York | — | $303.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $270.49 |
| Queens, NYNew York | — | $286.63 |
| Rest of New YorkNew York | — | $236.42 |
| OhioOhio | — | $247.37 |
| OklahomaOklahoma | — | $237.17 |
| Portland, OROregon | — | $247.21 |
| Rest of OregonOregon | — | $238.25 |
| Metropolitan Philadelphia, PAPennsylvania | — | $263.06 |
| Rest of PennsylvaniaPennsylvania | — | $245.01 |
| Puerto RicoPuerto Rico | — | $250.33 |
| Rhode IslandRhode Island | — | $250.65 |
| South CarolinaSouth Carolina | — | $241.37 |
| South DakotaSouth Dakota | — | $223.45 |
| TennesseeTennessee | — | $228.02 |
| Austin, TXTexas | — | $248.51 |
| Beaumont, TXTexas | — | $244.04 |
| Brazoria, TXTexas | — | $242.54 |
| Dallas, TXTexas | — | $246.09 |
| Fort Worth, TXTexas | — | $246.22 |
| Galveston, TXTexas | — | $244.58 |
| Houston, TXTexas | — | $266.91 |
| Rest of TexasTexas | — | $244.53 |
| UtahUtah | — | $243.97 |
| VirginiaVirginia | — | $237.85 |
| Virgin Islands, VIUnited States Virgin Islands | — | $250.33 |
| VermontVermont | — | $229.98 |
| Rest of WashingtonWashington | — | $245.08 |
| King County, WAWashington | — | $260.57 |
| WisconsinWisconsin | — | $220.64 |
| West VirginiaWest Virginia | — | $262.86 |
| WyomingWyoming | — | $239.91 |
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
| 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 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
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 Montana 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
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.09 | × 1.000 | 5.0900 |
| Practice expense | 1.19 | × 1.000 | 1.1900 |
| Malpractice | 1.22 | × 0.998 | 1.2176 |
| Total RVUs | 7.4976 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$250.43
Facility: (5.09 × 1 + 1.19 × 1 + 1.22 × 0.998) × $33.4009 = $250.43
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
| 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
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%).
How 33969 has changed in Montana
33969 · 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 | $250.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $250.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $250.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $250.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $255.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $255.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $255.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $255.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $263.08 | RVU24D |
| 2024-07-01 | Not available in this setting | $263.08 | RVU24C |
| 2024-04-01 | Not available in this setting | $263.08 | RVU24B |
| 2024-03-09 | Not available in this setting | $263.08 | RVU24AR |
| 2024-01-01 | Not available in this setting | $258.79 | RVU24A |
| 2023-10-01 | Not available in this setting | $268.18 | RVU23D |
| 2023-07-01 | Not available in this setting | $268.18 | RVU23C |
| 2023-04-01 | Not available in this setting | $268.18 | RVU23B |
| 2023-01-01 | Not available in this setting | $268.18 | RVU23A |
| 2022-10-01 | Not available in this setting | $274.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $274.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $274.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $274.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $276.80 | RVU21D |
| 2021-07-01 | Not available in this setting | $276.80 | RVU21C |
| 2021-04-01 | Not available in this setting | $276.80 | RVU21B |
| 2021-01-01 | Not available in this setting | $276.80 | RVU21A |
| 2020-10-01 | Not available in this setting | $298.31 | RVU20D |
| 2020-07-01 | Not available in this setting | $298.31 | RVU20C |
| 2020-04-01 | Not available in this setting | $298.31 | RVU20B |
| 2020-01-01 | Not available in this setting | $298.31 | RVU20A |
| 2019-10-01 | Not available in this setting | $315.56 | RVU19D |
| 2019-07-01 | Not available in this setting | $315.56 | RVU19C |
| 2019-04-01 | Not available in this setting | $315.56 | RVU19B |
| 2019-01-01 | Not available in this setting | $315.56 | RVU19A |
| 2018-10-01 | Not available in this setting | $314.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $314.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $314.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $314.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $307.48 | RVU17D |
| 2017-07-01 | Not available in this setting | $307.48 | RVU17C |
| 2017-04-01 | Not available in this setting | $307.48 | RVU17B |
| 2017-01-01 | Not available in this setting | $307.48 | RVU17A |
| 2016-10-01 | Not available in this setting | $292.54 | RVU16D |
| 2016-07-01 | Not available in this setting | $292.54 | RVU16C |
| 2016-04-01 | Not available in this setting | $292.54 | RVU16B |
| 2016-01-01 | Not available in this setting | $292.54 | RVU16A |
| 2015-10-01 | Not available in this setting | $315.10 | RVU15D |
| 2015-07-01 | Not available in this setting | $315.10 | RVU15C |
| 2015-04-01 | Not available in this setting | $313.53 | RVU15B |
| 2015-01-01 | Not available in this setting | $313.53 | 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 Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
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