33957 Ecmo/ecls reposition perph cnula
Also known as: ECMO peripheral re-repositioning, additional peripheral adjustment, repeat cannula reposition
Extracorporeal membrane oxygenation/extracorporeal life support repositioning of peripheral venous/arterial cannula during ECMO support (second or additional); further repositioning of peripheral cannulae.
In Plain Language
Additional adjustment of ECMO tubing; Repeat peripheral catheter movement
Clinical Context
Subsequent repositioning of peripheral ECMO cannulae when initial repositioning is inadequate or when repeated adjustments are necessary.
RVU Breakdown
| Work RVU | 3.42 |
| Total RVU | 3.42 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.42, this code ranks in the 24th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33957?
CPT 33957 (Ecmo/ecls reposition perph cnula) is a Surgery code. Extracorporeal membrane oxygenation/extracorporeal life support repositioning of peripheral venous/arterial cannula during ECMO support (second or additional); further repositioning of peripheral cannulae.
What is the wRVU value for CPT 33957?
The work RVU for CPT 33957 is 3.42. This code is primarily used by Cardiac Surgery, Vascular Surgery, Critical Care.
When is CPT 33957 used?
Subsequent repositioning of peripheral ECMO cannulae when initial repositioning is inadequate or when repeated adjustments are necessary.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.