2025 CPT code 33962
(Active) Effective Date: N/A Surgery - Cardiovascular System Surgery Feed
Reposition peripheral (arterial and/or venous) cannula(e) for extracorporeal membrane oxygenation (ECMO) or extracorporeal life support (ECLS), open, age 6 years and older, including fluoroscopic guidance when performed.
Modifiers may be applicable in certain circumstances (e.g., 22 for increased procedural services, 52 for reduced services).Refer to current CPT guidelines for specific modifier usage.
Medical necessity for cannula repositioning must be clearly documented.This typically includes complications with the current cannula placement such as decreased blood flow, bleeding, dislodgement, or other mechanical issues.
The physician is responsible for the surgical repositioning of the cannula, ensuring proper placement under fluoroscopic guidance, and managing any complications arising from the procedure.
In simple words: This procedure involves adjusting the position of a tube used for heart-lung bypass in a child older than 6. The doctor makes a small incision to access the tube and carefully moves it to a better position, using a special x-ray to see inside the body. This helps to ensure the blood flows properly to and from the machine that is helping the child breathe and pump blood.
This code describes a procedure where a physician repositions a peripheral cannula used for extracorporeal circulation in a patient 6 years or older. This is done through an open surgical approach and includes fluoroscopic guidance when necessary.Extracorporeal circulation provides cardiac and/or respiratory support, allowing the heart and/or lungs to rest and recover.The cannula is repositioned into the open end of a vessel (femoral or other) to ensure proper blood flow to and from the external oxygenator.The repositioning is done with the aid of fluoroscopy to visualize the cannula placement in real-time. This procedure is distinct from the daily management of the patient on ECMO/ECLS.
Example 1: A 10-year-old patient on ECMO support due to severe pneumonia requires cannula repositioning due to decreased blood flow., An 8-year-old patient experiencing bleeding complications related to ECMO cannula placement requires repositioning of the cannula to address the issue., A 7-year-old patient on ECMO after cardiac surgery requires cannula repositioning due to dislodgement.
Documentation should include the reason for cannula repositioning, the surgical approach used, details of fluoroscopic guidance, the new cannula position, and any complications encountered.
- Revenue Code: P2F - Major Procedure, Cardiovascular - Other
- Payment Status: Active
- Specialties:Cardiothoracic Surgery, Pediatric Surgery, Critical Care Medicine
- Place of Service:Inpatient Hospital