No office rate
Both codes cover peripheral cannula repositioning in patients ages 5 through 17. Choose 33964 for an open approach and 33959 for a percutaneous approach.
On this page
CMS RVU26D · Effective 2026-10-01
33964 Cannula repositioning Medicare reimbursement rates in Ohio
Reports open surgical repositioning of a peripheral ECMO or ECLS cannula in a patient aged 5 through 17 years. Compare 33964 office and facility rates across CMS payment localities in Ohio.
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 33964 in Ohio?
Ohio 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
$446.21
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
ECMO/ECLS
About 33964: Open ECMO cannula repositioning, ages 5–17
Reports open surgical repositioning of a peripheral ECMO or ECLS cannula in a patient aged 5 through 17 years.
This service covers surgically exposing and moving a peripheral cannula to a better position while extracorporeal membrane oxygenation or extracorporeal life support is in use. It is selected for patients ages 5 through 17 when the repositioning is performed through an open approach, rather than percutaneously. Cardiothoracic or other appropriately qualified surgeons typically perform it in an operating room or intensive care setting when cannula position needs correction to support the circuit or address a positioning problem.
Report the code for the open repositioning service, not for initial cannula placement or cannula removal alone. The record should identify the patient’s age, the peripheral cannula, the reason for repositioning, the open approach, and the repositioning performed. The code has 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 multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery, co-surgeon, and team-surgery payment require supporting documentation.
CMS billing rules for 33964
- 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 RVU9.26 · 68%
- Practice expense (office) RVU2.05 · 15%
- Malpractice RVU2.21 · 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.
33964 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This is the open repositioning sibling for patients younger than 5 years; 33964 is for patients ages 5 through 17.
No office rate
33965 reports peripheral cannula removal. Use 33964 when the service is repositioning the cannula rather than removing it.
Compare 33964 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
Ohio →
Office / nonfacility
Unavailable
Facility
$446.21
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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 33964 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
4,149
- Code
- 33964
- Physician work
- 9.26
- Practice expense
- 2.05
- Malpractice
- 2.21
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.26 | × 1.000 | 9.2600 |
| Practice expense | 2.05 | × 0.913 | 1.8716 |
| Malpractice | 2.21 | × 1.008 | 2.2277 |
| Total RVUs | 13.3593 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$446.21
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.26 | 1 |
| Practice expense | 2.05 | 0.913 |
| Malpractice | 2.21 | 1.008 |
(9.26 × 1 + 2.05 × 0.913 + 2.21 × 1.008) × $33.4009 = $446.21
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.
33964 billing questions
How do I distinguish this code from 33959?
Both describe peripheral cannula repositioning for patients ages 5 through 17. Use this code for an open approach and 33959 for a percutaneous approach.
Is this code for initial cannula placement?
No. It describes repositioning a cannula already in place. Initial peripheral cannula insertion is reported with an insertion code, such as 33951–33954, based on the applicable approach and patient age.
Does the 0-day global include same-day care?
Yes. Same-day preoperative and postoperative care is included in this minor procedure’s 0-day global period.
Can modifier 50 be used when more than one cannula is repositioned?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate. Document the cannula or cannulae repositioned and the work performed.
When is an assistant or co-surgeon payable?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment also require supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; 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 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.
4,1463395F,,Quant nonher2 ihc 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
4,14733962,,Ecmo/ecls repos perph cnula,A,,4.36,1.05,NA,1.05,,1.06,6.47,6.47,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,14833963,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703