CPT® Code 33015

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The procedure described by CPT® Code 33015 refers to a tube pericardiostomy, which is a minimally invasive surgical technique used to drain fluid from the pericardial cavity surrounding the heart. This procedure is typically performed when there is an accumulation of fluid, known as pericardial effusion, which can lead to complications such as cardiac tamponade, where the heart is compressed and unable to function properly. During the procedure, the physician utilizes either local or general anesthesia to ensure patient comfort. The process begins with the infiltration of local anesthetic into the skin and soft tissues of the chest, particularly in the subxiphoid area, to minimize pain during the intervention. Once the area is adequately anesthetized, the physician carefully penetrates the pericardium, the fibrous sac that encases the heart, to access the fluid within the pericardial cavity. The fluid is aspirated to relieve pressure on the heart. Following this, a guidewire is introduced and positioned within the pericardial cavity, guided by fluoroscopic imaging to ensure accurate placement. An incision is then made in the skin, and an introducer is placed over the guidewire into the pericardial cavity. The correct positioning of the introducer is confirmed through fluoroscopy. Subsequently, a chest tube is threaded into the pericardium to facilitate continuous drainage of fluid. After the introducer is removed, the chest tube is secured to the skin using sutures and connected to a chest drainage bag and suction device to maintain proper drainage and prevent fluid reaccumulation.