CPT® Code 33985

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

Extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS) are terms that refer to a medical procedure providing long-term heart and lung bypass support. This procedure involves circulating blood outside the body through an artificial lung, which oxygenates the blood before returning it to the bloodstream. The specific procedure described by CPT® Code 33985 pertains to the removal of central cannula(e) in patients aged birth through 5 years. The removal is performed via a transthoracic approach, which includes surgical techniques such as sternotomy or thoracotomy. These approaches involve making an incision in the chest to access the heart and lungs directly. The procedure is critical in managing patients who require prolonged support for cardiac and respiratory function, ensuring that the cannula(e) are removed safely to minimize complications such as air embolism. The careful technique employed during the removal process is essential for the patient's recovery and overall outcome.