CPT® Code 33986

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older

Extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS) are terms that refer to advanced medical procedures used to provide long-term support for patients with severe heart and lung dysfunction. These procedures involve the use of a machine that takes over the function of the heart and lungs by circulating blood outside the body through an artificial lung, where it is oxygenated before being returned to the bloodstream. The process is critical for patients who are unable to maintain adequate oxygenation or perfusion due to various medical conditions. The procedure described by CPT® Code 33986 specifically pertains to the removal of central cannulae in patients aged 6 years and older, utilizing a transthoracic approach, which may include sternotomy or thoracotomy. This procedure is performed by a physician and requires careful handling to minimize complications, such as air embolism, during the removal of the cannulae. The technique involves specific positioning of the patient and meticulous surgical steps to ensure safe and effective removal of the cannulae, followed by appropriate closure of the surgical site.