No office rate
33946 describes initiating venovenous support; 33948 describes subsequent daily physician management while that support continues.
On this page
CMS RVU26D · Effective 2026-10-01
33948 ECMO management Medicare reimbursement rates in Nebraska
Report this service for a physician’s ongoing daily management of venovenous ECMO supporting a patient with severe respiratory failure. Compare 33948 office and facility rates across CMS payment localities in Nebraska.
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 33948 in Nebraska?
Nebraska 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
$197.50
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 services
About 33948: Venovenous ECMO daily management
Report this service for a physician’s ongoing daily management of venovenous ECMO supporting a patient with severe respiratory failure.
This service covers a physician’s ongoing management of venovenous extracorporeal membrane oxygenation or extracorporeal life support. Venovenous support drains blood from and returns it to the venous circulation, typically to provide oxygenation and carbon dioxide removal in severe respiratory failure. Intensivists, cardiothoracic surgeons, and other physicians directing ECMO care may perform this work in an intensive care setting. Management may include assessing the patient’s response, reviewing circuit function and relevant clinical data, and directing changes to support settings or treatment.
Report 33948 for a date on which the physician provides daily management while venovenous support is ongoing; it is not the code for starting support or placing cannulas. Documentation should identify the venovenous configuration and date, and describe the physician’s management work, such as assessment of the patient and circuit and decisions about continued support or adjustments. The service is distinct in purpose from the initial setup and cannulation procedures.
Where the value comes from
- Work RVU4.61 · 71%
- Practice expense (office) RVU1.08 · 17%
- Malpractice RVU0.81 · 12%
5.9K
Medicare services in 2024 · #1774 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.
33948 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Both codes describe daily ECMO/ECLS management, but 33948 is for venovenous support and 33949 is for arterial support.
No office rate
33947 describes initiation of arterial support. It is not the daily management code for venovenous ECMO.
Compare 33948 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$197.50
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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 33948 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,134
- Code
- 33948
- Physician work
- 4.61
- Practice expense
- 1.08
- Malpractice
- 0.81
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.61 | × 1.000 | 4.6100 |
| Practice expense | 1.08 | × 0.923 | 0.9968 |
| Malpractice | 0.81 | × 0.378 | 0.3062 |
| Total RVUs | 5.9130 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$197.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.61 | 1 |
| Practice expense | 1.08 | 0.923 |
| Malpractice | 0.81 | 0.378 |
(4.61 × 1 + 1.08 × 0.923 + 0.81 × 0.378) × $33.4009 = $197.50
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.
33948 billing questions
How does 33948 differ from 33946?
33946 describes initiation of venovenous ECMO/ECLS. Use 33948 for the physician’s ongoing daily management after support has been initiated.
When should 33949 be used instead?
33949 is for daily management of arterial ECMO/ECLS. Select 33948 when the support configuration is venovenous.
Does 33948 include cannula placement?
No. The daily management service concerns ongoing physician oversight; cannula insertion is described by separate cannulation codes when that procedure is performed.
How often is 33948 reported?
It represents daily management, so documentation should support the physician’s work for the date reported rather than counting individual circuit adjustments as separate services.
What documentation supports 33948?
Document the venovenous configuration, date of management, patient and circuit assessment, and the physician’s decisions or direction regarding ongoing ECMO support.
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.
4,13133945,,Transplantation of heart,R,,87.26,26.39,NA,26.39,,21.58,135.23,135.23,0,090,0.09,0.84,0.07,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
4,13233946,,Ecmo/ecls initiation venous,A,,5.85,1.26,NA,1.26,,1.26,8.37,8.37,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,13333947,,Ecmo/ecls initiation artery,A,,6.46,1.36,NA,1.36,,1.41,9.23,9.23,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,13433948,,Ecmo/ecls daily mgmt-venous,A,,4.61,1.08,NA,1.08,,0.81,6.50,6.50,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,13533949,,Ecmo/ecls daily mgmt artery,A,,4.49,1.02,NA,1.02,,0.75,6.26,6.26,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1363394F,,Quant her2 ihc eval brst cx,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,13733951,,Ecmo/ecls insj prph cannula,A,,7.95,1.79,NA,1.79,,1.91,11.65,11.65,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068