No office rate
Use 33985 for open removal of central ECMO/ECLS cannulae; 33984 describes peripheral cannula removal.
On this page
CMS RVU26D · Effective 2026-10-01
33984 ECMO cannula removal Medicare reimbursement rates in Colorado
Report open surgical removal of peripheral cannulae used for ECMO or ECLS when extracorporeal support is discontinued. Compare 33984 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 33984 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$253.45
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Extracorporeal support
About 33984: Open removal of peripheral ECMO cannula
Report open surgical removal of peripheral cannulae used for ECMO or ECLS when extracorporeal support is discontinued.
This service is the open surgical decannulation of peripheral extracorporeal membrane oxygenation or extracorporeal life support access. After support has ended, a surgeon exposes the access site, removes the cannula or cannulae, and manages the vessel and surrounding tissues. Common peripheral access sites include the femoral vessels; peripheral venous access may also be through the neck. The work is typically performed in a hospital operating room or intensive care setting by a surgeon familiar with vascular or cardiothoracic procedures.
Select this code when the removed ECMO/ECLS cannulae are peripheral and the removal is performed open. The operative report should identify the support system, access site, peripheral location, and removal approach. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures occur in the same session, CMS pays the highest-valued procedure in full and reduces the others. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery reporting are not permitted. Modifier 50 is inappropriate for this descriptor.
CMS billing rules for 33984
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.32 · 69%
- Practice expense (office) RVU1.11 · 14%
- Malpractice RVU1.31 · 17%
533
Medicare services in 2024 · #3496 by national volume
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.
33984 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
33986 is for central cannula removal with vessel repair, with or without patch graft; 33984 is for peripheral cannula removal.
No office rate
33992 describes removal of a percutaneous left-heart VAD, not open removal of peripheral ECMO/ECLS cannulae.
Compare 33984 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$253.45
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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 33984 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
4,168
- Code
- 33984
- Physician work
- 5.32
- Practice expense
- 1.11
- Malpractice
- 1.31
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.32 | × 1.012 | 5.3838 |
| Practice expense | 1.11 | × 1.064 | 1.1810 |
| Malpractice | 1.31 | × 0.781 | 1.0231 |
| Total RVUs | 7.5880 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$253.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.32 | 1.012 |
| Practice expense | 1.11 | 1.064 |
| Malpractice | 1.31 | 0.781 |
(5.32 × 1.012 + 1.11 × 1.064 + 1.31 × 0.781) × $33.4009 = $253.45
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.
33984 billing questions
How does 33984 differ from 33985?
33984 is for open removal of peripheral ECMO/ECLS cannulae. Use the central-cannula removal code when the cannulae are positioned centrally.
When is 33984 reported?
Report it for open surgical removal of peripheral cannulae after ECMO/ECLS support is discontinued. Document the support system, access site, and removal approach.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and reduces the other procedures to 50% when multiple procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
Can modifier 50 be used for bilateral cannula removal?
No. Modifier 50 is inappropriate for this descriptor; report the applicable peripheral cannula removal service.
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.
4,16533981,,Replace vad pump ext,A,,15.71,3.23,NA,3.23,,3.75,22.69,22.69,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16633982,,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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899