What CPT code should be reported for a pericardiotomy?

The correct CPT code for a pericardiotomy is 33020. This code specifically refers to the surgical procedure of opening the pericardium, which is the fibrous sac surrounding the heart. It is commonly performed to relieve pericardial effusion or to access the heart for further procedures, such as placing a catheter for drainage or performing a biopsy.

This code is used in a variety of clinical scenarios where there might be issues with the pericardium, such as constrictive pericarditis, cardiac tamponade, or when surgical access to the heart is required for other interventions. It provides a clear and specific descriptor for the service rendered, facilitating accurate billing and record-keeping.

The other codes listed are not appropriate for a pericardiotomy. For instance, the codes related to lymph node excision or esophagectomy do not pertain to heart surgery, thereby clarifying that 33020 is indeed the relevant choice for the procedure in question.