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33016

Pericardiocentesis

Code Description

CPT code 33016 is used to report pericardiocentesis, a procedure performed to remove excess fluid from the pericardial sac surrounding the heart. The physician inserts a needle through the chest wall into the pericardial space to drain fluid and relieve pressure on the heart. Imaging guidance is included when performed.

Pericardiocentesis may be performed for both diagnostic and therapeutic purposes. The procedure is commonly used when a patient develops a pericardial effusion that is causing symptoms or affecting cardiac function

When to Use 33016

Common examples include:

  • pericardial effusion

  • cardiac tamponade

  • suspected infection of the pericardium

  • suspected malignant effusion

  • diagnostic fluid sampling

Documentation Requirements

Documentation should include:

  • indication for the procedure

  • imaging guidance utilized

  • amount of fluid removed

  • patient tolerance

  • procedural findings

Common Billing Mistakes

Common billing mistakes include:

  • reporting separate imaging guidance

  • insufficient procedural documentation

  • failure to document fluid drainage

  • incorrect pericardial drainage code selection

  • confusion between pericardiocentesis and indwelling catheter procedures

Related CPT Codes
33017

Pericardial Drainage With Indwelling Catheter

33018

Pericardial Drainage for Young Children or Congenital Anomalies

33019

Pericardial Drainage With CT Guidance

FAQ
What is the difference between CPT 33016 and 33017?

CPT 33016 reports pericardiocentesis, while CPT 33017 reports pericardial drainage with placement of an indwelling catheter that remains in place after the procedure.

Is imaging guidance included in CPT 33016?

Yes. Imaging guidance is included when performed and should not be reported separately.

Why is pericardiocentesis performed?

The procedure is used to remove fluid surrounding the heart and may help relieve symptoms, improve cardiac function, or obtain fluid for diagnostic testing.

Is CPT 33016 considered a cardiovascular surgery code?

Yes. CPT 33016 is classified within the Surgery section under procedures involving the heart and pericardium.

Procedure Type

Pericardial Drainage

Body Area

Technique

Pericardium

Pericardiocentesis