No office rate
Both describe percutaneous repositioning of a peripheral ECMO/ECLS cannula; the age group determines which code applies.
On this page
CMS RVU26D · Effective 2026-10-01
33959 Cannula repositioning Medicare reimbursement rates in Utah
Reports percutaneous repositioning of a peripheral ECMO/ECLS cannula in a patient younger than one year when its position requires adjustment during support. Compare 33959 office and facility rates across CMS payment localities in Utah.
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 33959 in Utah?
Utah 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
$210.39
1 of 1 localities have a supported rate.
Payment area: Utah
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 33959: Percutaneous ECMO cannula repositioning, infant
Reports percutaneous repositioning of a peripheral ECMO/ECLS cannula in a patient younger than one year when its position requires adjustment during support.
This service covers percutaneous adjustment of a peripheral cannula while a patient younger than one year is receiving extracorporeal membrane oxygenation or extracorporeal life support. It is performed by a clinician managing the ECMO/ECLS circuit when a cannula needs repositioning, rather than initial placement or removal. The patient’s age and the peripheral, percutaneous approach distinguish this code from other repositioning services in the family.
Report the service when the record supports an actual cannula repositioning and identifies the patient’s age, cannula site, and percutaneous approach. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If multiple procedures are performed 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 payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 33959
- 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 RVU4.36 · 67%
- Practice expense (office) RVU1.05 · 16%
- Malpractice RVU1.06 · 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.
33959 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
This code represents peripheral cannula repositioning by an open approach, while 33959 is percutaneous.
No office rate
33951 reports peripheral cannula insertion. Use 33959 only when an existing cannula is repositioned during ECMO/ECLS support.
Compare 33959 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
Utah →
Office / nonfacility
Unavailable
Facility
$210.39
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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 33959 in Utah.
PPRRVU2026_Oct_nonQPP.csv
4,145
- Code
- 33959
- Physician work
- 4.36
- Practice expense
- 1.05
- Malpractice
- 1.06
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.36 | × 1.000 | 4.3600 |
| Practice expense | 1.05 | × 0.940 | 0.9870 |
| Malpractice | 1.06 | × 0.898 | 0.9519 |
| Total RVUs | 6.2989 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$210.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.36 | 1 |
| Practice expense | 1.05 | 0.94 |
| Malpractice | 1.06 | 0.898 |
(4.36 × 1 + 1.05 × 0.94 + 1.06 × 0.898) × $33.4009 = $210.39
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.
33959 billing questions
When is 33959 selected over another repositioning code?
Use it for percutaneous repositioning of a peripheral cannula in a patient younger than one year. The other codes in the family distinguish age groups and approach.
Does 33959 cover initial cannula placement or removal?
No. It reports repositioning during ECMO/ECLS support; initial insertion and cannula removal are separate services.
What documentation supports reporting 33959?
Document the repositioning performed, the peripheral cannula and percutaneous approach, and the patient’s age.
Can modifier 50 be appended for repositioning two cannulas?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.
How does payment work when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures 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.
4,14233956,,Ecmo/ecls insj ctr cannula,A,,15.60,3.28,NA,3.28,,3.76,22.64,22.64,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,14333957,,Ecmo/ecls repos perph cnula,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
4,14433958,,Ecmo/ecls repos perph cnula,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
4,14533959,,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
4,1463395F,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985