No office rate
Use 33965 for percutaneous peripheral cannula removal. This code describes removal through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
33966 ECMO cannula removal Medicare reimbursement rates in Kansas
Reports open surgical removal of peripheral ECMO or ECLS cannulae when extracorporeal support ends and the cannula is removed through an operative approach. Compare 33966 office and facility rates across CMS payment localities in Kansas.
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 33966 in Kansas?
Kansas 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
$195.37
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Cardiovascular surgery
About 33966: Open peripheral ECMO cannula removal
Reports open surgical removal of peripheral ECMO or ECLS cannulae when extracorporeal support ends and the cannula is removed through an operative approach.
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.
CMS billing rules for 33966
- 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 RVU4.39 · 68%
- Practice expense (office) RVU1.04 · 16%
- Malpractice RVU1.03 · 16%
637
Medicare services in 2024 · #3345 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.
33966 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Both are peripheral cannula-removal codes. Apply the specific cannula and patient criteria in the applicable descriptor to select between them.
No office rate
33957 represents repositioning a peripheral ECMO/ECLS cannula, not removing it from the patient.
No office rate
33952 is a peripheral cannula insertion code. Choose it for placement, not decannulation.
Compare 33966 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
Kansas →
Office / nonfacility
Unavailable
Facility
$195.37
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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 33966 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,151
- Code
- 33966
- Physician work
- 4.39
- Practice expense
- 1.04
- Malpractice
- 1.03
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.39 | × 1.000 | 4.3900 |
| Practice expense | 1.04 | × 0.904 | 0.9402 |
| Malpractice | 1.03 | × 0.504 | 0.5191 |
| Total RVUs | 5.8493 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$195.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.39 | 1 |
| Practice expense | 1.04 | 0.904 |
| Malpractice | 1.03 | 0.504 |
(4.39 × 1 + 1.04 × 0.904 + 1.03 × 0.504) × $33.4009 = $195.37
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.
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 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.
4,14833963,,Ecmo/ecls repos perph cnula,A,,8.78,1.95,NA,1.95,,2.10,12.83,12.83,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,14933964,,Ecmo/ecls repos perph cnula,A,,9.26,2.05,NA,2.05,,2.21,13.52,13.52,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15033965,,Ecmo/ecls rmvl perph cannula,A,,3.42,0.85,NA,0.85,,0.82,5.09,5.09,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15133966,,Ecmo/ecls rmvl prph cannula,A,,4.39,1.04,NA,1.04,,1.03,6.46,6.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15233967,,Insert i-aort percut device,A,,4.72,0.92,NA,0.92,,1.09,6.73,6.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15333968,,Remove aortic assist device,A,,0.62,0.13,NA,0.13,,0.14,0.89,0.89,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15433969,,Ecmo/ecls rmvl perph cannula,A,,5.09,1.19,NA,1.19,,1.22,7.50,7.50,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958