CPT® Code 33017

Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly

The procedure described by CPT® Code 33017 involves the pericardial drainage with the insertion of an indwelling catheter using a percutaneous approach. The pericardial sac, which is a thin, two-layer membrane encasing the heart, contains a small volume of fluid that serves to minimize friction during heartbeats. However, various conditions such as infections, malignancies, inflammation, injuries, drug reactions, or metabolic disorders can lead to an accumulation of excess fluid, known as pericardial effusion. This excess fluid can hinder the heart's ability to function properly. To alleviate this condition, a pericardial drainage procedure is performed, which may utilize imaging guidance techniques such as fluoroscopy, ultrasound, or computed tomography (CT) to ensure accurate catheter placement. During the procedure, a local anesthetic is administered, and a needle is inserted through the chest wall into the pericardial space, allowing for the introduction of a flexible catheter. This catheter remains in place to facilitate ongoing drainage of the fluid. The procedure is specifically indicated for patients aged 6 years and older who do not have congenital cardiac anomalies, ensuring that the intervention is tailored to the appropriate patient population.