No office rate
Choose 33984 for removal of peripheral ECMO/ECLS cannulae. Choose 33985 for open removal of central cannulae.
On this page
CMS RVU26D · Effective 2026-10-01
33985 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$447.35
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
ECMO/ECLS surgery
About 33985: Open removal of central ECMO cannulae
Reports open removal of central cannulae after ECMO or ECLS support, when the patient is ready to be decannulated from central access.
This service covers open removal of central cannulae used for extracorporeal membrane oxygenation or extracorporeal life support. It is typically performed by a cardiac or cardiothoracic surgeon when support ends and the central cannulae, such as those placed in the heart or great vessels, can be removed. Central access is distinct from peripheral access, such as cannulation through a femoral vessel.
Select the code based on central cannula removal by the open approach, not the original cannulation site alone. The operative report should identify the cannulae removed, their central location, the open approach, and the decannulation performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon and team-surgery payment require supporting documentation.
CMS billing rules for 33985
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery paid only with supporting documentation.
Where the value comes from
- Work RVU9.64 · 68%
- Practice expense (office) RVU2.13 · 15%
- Malpractice RVU2.32 · 16%
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.
33985 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Both codes concern central ECMO/ECLS cannula removal; 33985 is the open approach, while 33986 is the percutaneous approach.
No office rate
33946 reports ECMO/ECLS initiation, not removal of cannulae when support ends.
No office rate
33947 is an ECMO/ECLS initiation service; use 33985 for open removal of central cannulae.
The same code, a different location
How does El Centro compare?
33985 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Modesto
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Napa
California · 33985
Office
Unavailable
Facility
$475.40
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33985
Office
Unavailable
Facility
$463.37
No comparable office rate is available.
Redding
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Rest Of California
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33985
Office
Unavailable
Facility
$471.85
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33985
Office
Unavailable
Facility
$457.85
No comparable office rate is available.
Salinas
California · 33985
Office
Unavailable
Facility
$455.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33985
Office
Unavailable
Facility
$458.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33985
Office
Unavailable
Facility
$488.45
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33985
Office
Unavailable
Facility
$485.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33985
Office
Unavailable
Facility
$501.53
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33985
Office
Unavailable
Facility
$490.76
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33985
Office
Unavailable
Facility
$450.03
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33985
Office
Unavailable
Facility
$456.72
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33985
Office
Unavailable
Facility
$455.49
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33985
Office
Unavailable
Facility
$460.54
No comparable office rate is available.
Stockton
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Vallejo
California · 33985
Office
Unavailable
Facility
$471.61
No comparable office rate is available.
Visalia
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Yuba City
California · 33985
Office
Unavailable
Facility
$446.97
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33985
Office
Unavailable
Facility
$509.43
No comparable office rate is available.
Miami
Florida · 33985
Office
Unavailable
Facility
$592.02
No comparable office rate is available.
Chicago
Illinois · 33985
Office
Unavailable
Facility
$573.58
No comparable office rate is available.
Manhattan
New York · 33985
Office
Unavailable
Facility
$548.16
No comparable office rate is available.
Alaska*
Alaska · 33985
Office
Unavailable
Facility
$601.44
No comparable office rate is available.
Alabama
Alabama · 33985
Office
Unavailable
Facility
$428.09
No comparable office rate is available.
Arkansas
Arkansas · 33985
Office
Unavailable
Facility
$423.00
No comparable office rate is available.
Arizona
Arizona · 33985
Office
Unavailable
Facility
$457.25
No comparable office rate is available.
Colorado
Colorado · 33985
Office
Unavailable
Facility
$462.07
No comparable office rate is available.
Connecticut
Connecticut · 33985
Office
Unavailable
Facility
$498.81
No comparable office rate is available.
Delaware
Delaware · 33985
Office
Unavailable
Facility
$463.55
No comparable office rate is available.
Fort Lauderdale
Florida · 33985
Office
Unavailable
Facility
$534.16
No comparable office rate is available.
Rest Of Florida
Florida · 33985
Office
Unavailable
Facility
$506.47
No comparable office rate is available.
Atlanta
Georgia · 33985
Office
Unavailable
Facility
$488.30
No comparable office rate is available.
Rest Of Georgia
Georgia · 33985
Office
Unavailable
Facility
$477.81
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33985
Office
Unavailable
Facility
$447.74
No comparable office rate is available.
Iowa
Iowa · 33985
Office
Unavailable
Facility
$417.84
No comparable office rate is available.
Idaho
Idaho · 33985
Office
Unavailable
Facility
$424.09
No comparable office rate is available.
East St. Louis
Illinois · 33985
Office
Unavailable
Facility
$543.50
No comparable office rate is available.
Rest Of Illinois
Illinois · 33985
Office
Unavailable
Facility
$508.06
No comparable office rate is available.
Suburban Chicago
Illinois · 33985
Office
Unavailable
Facility
$534.62
No comparable office rate is available.
Indiana
Indiana · 33985
Office
Unavailable
Facility
$425.60
No comparable office rate is available.
Kansas
Kansas · 33985
Office
Unavailable
Facility
$425.35
No comparable office rate is available.
Kentucky
Kentucky · 33985
Office
Unavailable
Facility
$456.14
No comparable office rate is available.
New Orleans
Louisiana · 33985
Office
Unavailable
Facility
$476.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33985
Office
Unavailable
Facility
$459.18
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33985
Office
Unavailable
Facility
$489.10
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33985
Office
Unavailable
Facility
$463.81
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33985
Office
Unavailable
Facility
$499.33
No comparable office rate is available.
Rest Of Maryland
Maryland · 33985
Office
Unavailable
Facility
$468.34
No comparable office rate is available.
Rest Of Maine
Maine · 33985
Office
Unavailable
Facility
$435.64
No comparable office rate is available.
Southern Maine
Maine · 33985
Office
Unavailable
Facility
$441.38
No comparable office rate is available.
Detroit
Michigan · 33985
Office
Unavailable
Facility
$521.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 33985
Office
Unavailable
Facility
$474.43
No comparable office rate is available.
Minnesota
Minnesota · 33985
Office
Unavailable
Facility
$418.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33985
Office
Unavailable
Facility
$464.50
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33985
Office
Unavailable
Facility
$467.36
No comparable office rate is available.
Rest Of Missouri
Missouri · 33985
Office
Unavailable
Facility
$458.79
No comparable office rate is available.
Mississippi
Mississippi · 33985
Office
Unavailable
Facility
$440.50
No comparable office rate is available.
Montana**
Montana · 33985
Office
Unavailable
Facility
$470.46
No comparable office rate is available.
North Carolina
North Carolina · 33985
Office
Unavailable
Facility
$437.88
No comparable office rate is available.
North Dakota**
North Dakota · 33985
Office
Unavailable
Facility
$424.59
No comparable office rate is available.
Nebraska
Nebraska · 33985
Office
Unavailable
Facility
$416.94
No comparable office rate is available.
New Hampshire
New Hampshire · 33985
Office
Unavailable
Facility
$463.85
No comparable office rate is available.
Northern Nj
New Jersey · 33985
Office
Unavailable
Facility
$507.56
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33985
Office
Unavailable
Facility
$497.56
No comparable office rate is available.
New Mexico
New Mexico · 33985
Office
Unavailable
Facility
$480.29
No comparable office rate is available.
Nevada**
Nevada · 33985
Office
Unavailable
Facility
$457.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33985
Office
Unavailable
Facility
$571.08
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33985
Office
Unavailable
Facility
$508.14
No comparable office rate is available.
Queens
New York · 33985
Office
Unavailable
Facility
$538.42
No comparable office rate is available.
Rest Of New York
New York · 33985
Office
Unavailable
Facility
$444.05
No comparable office rate is available.
Ohio
Ohio · 33985
Office
Unavailable
Facility
$465.05
No comparable office rate is available.
Oklahoma
Oklahoma · 33985
Office
Unavailable
Facility
$445.73
No comparable office rate is available.
Portland
Oregon · 33985
Office
Unavailable
Facility
$463.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 33985
Office
Unavailable
Facility
$447.32
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33985
Office
Unavailable
Facility
$494.29
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33985
Office
Unavailable
Facility
$460.52
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33985
Office
Unavailable
Facility
$470.24
No comparable office rate is available.
Rhode Island
Rhode Island · 33985
Office
Unavailable
Facility
$470.72
No comparable office rate is available.
South Carolina
South Carolina · 33985
Office
Unavailable
Facility
$453.59
No comparable office rate is available.
South Dakota**
South Dakota · 33985
Office
Unavailable
Facility
$419.17
No comparable office rate is available.
Tennessee
Tennessee · 33985
Office
Unavailable
Facility
$428.27
No comparable office rate is available.
Austin
Texas · 33985
Office
Unavailable
Facility
$466.56
No comparable office rate is available.
Beaumont
Texas · 33985
Office
Unavailable
Facility
$458.71
No comparable office rate is available.
Brazoria
Texas · 33985
Office
Unavailable
Facility
$455.51
No comparable office rate is available.
Dallas
Texas · 33985
Office
Unavailable
Facility
$462.23
No comparable office rate is available.
Fort Worth
Texas · 33985
Office
Unavailable
Facility
$462.52
No comparable office rate is available.
Galveston
Texas · 33985
Office
Unavailable
Facility
$459.37
No comparable office rate is available.
Houston
Texas · 33985
Office
Unavailable
Facility
$501.83
No comparable office rate is available.
Rest Of Texas
Texas · 33985
Office
Unavailable
Facility
$459.47
No comparable office rate is available.
Utah
Utah · 33985
Office
Unavailable
Facility
$458.45
No comparable office rate is available.
Virginia
Virginia · 33985
Office
Unavailable
Facility
$446.63
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33985
Office
Unavailable
Facility
$470.24
No comparable office rate is available.
Vermont
Vermont · 33985
Office
Unavailable
Facility
$431.63
No comparable office rate is available.
Rest Of Washington
Washington · 33985
Office
Unavailable
Facility
$460.05
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33985
Office
Unavailable
Facility
$488.69
No comparable office rate is available.
Wisconsin
Wisconsin · 33985
Office
Unavailable
Facility
$414.01
No comparable office rate is available.
West Virginia
West Virginia · 33985
Office
Unavailable
Facility
$494.70
No comparable office rate is available.
Wyoming**
Wyoming · 33985
Office
Unavailable
Facility
$450.47
No comparable office rate is available.
See how rates vary across the country
33985 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33985 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$492.09
$447.35 × 110% = $492.09
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33985 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
4,169
- Code
- 33985
- Physician work
- 9.64
- Practice expense
- 2.13
- Malpractice
- 2.32
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.64 | × 1.017 | 9.8039 |
| Practice expense | 2.13 | × 1.096 | 2.3345 |
| Malpractice | 2.32 | × 0.541 | 1.2551 |
| Total RVUs | 13.3935 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$447.35
Open 33985 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.64 | 1.017 |
| Practice expense | 2.13 | 1.096 |
| Malpractice | 2.32 | 0.541 |
(9.64 × 1.017 + 2.13 × 1.096 + 2.32 × 0.541) × $33.4009 = $447.35
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33985 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $447.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $447.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $447.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $447.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $465.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $465.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $465.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $465.92 | RVU25A |
33985 billing questions
How do I distinguish this from 33984?
Code 33985 is for open removal of central ECMO/ECLS cannulae. Code 33984 is for removal of peripheral cannulae.
How does 33986 differ?
33986 describes central cannula removal by a percutaneous approach. Use 33985 for open removal.
Can modifier 50 be used when more than one cannula is removed?
No. Modifier 50 is inappropriate for this service; removal of multiple cannulae does not make it a bilateral procedure.
What documentation supports reporting 33985?
Document that the cannulae were used for ECMO/ECLS, their central location, and that they were removed through an open approach. The operative note should describe the decannulation performed.
How are other procedures in the same session handled?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.
What documentation is needed for assistant or team payment?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,16633982,,Replace vad intra w/o bp,A,,36.91,7.57,NA,7.57,,8.85,53.33,53.33,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16733983,,Replace vad intra w/bp,A,,43.43,8.92,NA,8.92,,10.43,62.78,62.78,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16833984,,Ecmo/ecls rmvl prph cannula,A,,5.32,1.11,NA,1.11,,1.31,7.74,7.74,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16933985,,Ecmo/ecls rmvl ctr cannula,A,,9.64,2.13,NA,2.13,,2.32,14.09,14.09,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17033986,,Ecmo/ecls rmvl ctr cannula,A,,9.75,2.13,NA,2.13,,2.41,14.29,14.29,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17133987,,Artery expos/graft artery,A,,3.94,0.81,NA,0.81,,0.95,5.70,5.70,0,ZZZ,0.00,0.00,0.00,0,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17233988,,Insertion of left heart vent,A,,14.63,3.16,NA,3.16,,3.49,21.28,21.28,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664