AMA CPT® Assistant - 2020 Issue 1 (January)
Pericardiocentesis and Pericardial Drainage Changes for 2020 (January 2020)
January 2020 pages 7-9 Pericardiocentesis and Pericardial Drainage Changes for 2020 For the Current Procedural Terminology (CPT®) 2020 code set, significant changes were made in the Pericardium subsection to reflect current clinical practice. Codes 33010, 33011, and 33015 were deleted, and new codes 33016, 33017, 33018, and 33019 were established. New guidelines were also added to describe appropriate reporting of pericardiocentesis and percutaneous pericardial drainage with insertion of an indwelling catheter. This article discusses these changes to clarify the appropriate intent and use of these procedures. Pericardium 33016Pericardiocentesis, including imaging guidance, when performed (Do not report 33016 in...
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Article Overview
This premium article explains the 2020 CPT updates affecting pericardiocentesis and pericardial drainage. It is aimed at coders, billing staff, and clinicians who need to understand the scope of the revised pericardium subsection, the general reporting guidance, and the kinds of procedural scenarios addressed by the new structure. The discussion centers on how the updated CPT framework organizes these services and how the accompanying examples reflect typical use cases.
Why This Topic Matters
Pericardial drainage procedures changed significantly in CPT 2020, so accurate identification of the updated code family and related guidance matters for compliant reporting and consistent claims processing.
Article Sections
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January 2020 pages 7-9
Introduces the article’s placement in the publication and the general topic of pericardial procedure coding changes for 2020.
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Pericardium
Presents the updated CPT pericardium code family and associated reporting notes for the revised service structure.
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Guidelines
Summarizes the general reporting framework for the revised pericardial procedure codes and related catheter documentation concepts.
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Pericardiocentesis and Pericardial Drainage
Provides background on how the older pericardial procedure structure was revised for 2020 and why the new code family was introduced.
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Table 1. Quick Reference Guide
Shows a concise comparison of the new pericardial procedure codes and their broad reporting categories.
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Coding Tip
Offers a brief summary note about when certain echocardiography services may be considered alongside the revised pericardial procedure codes.
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Clinical Example (33016)
Presents an example scenario and procedural narrative illustrating a pericardiocentesis service under the revised coding structure.
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Description of Procedure (33016)
Describes a typical procedural workflow and imaging-supported workflow for the example tied to the revised pericardiocentesis code.
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Clinical Example (33017)
Presents an example scenario and procedural narrative for a percutaneous pericardial drainage service under the revised coding structure.
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Description of Procedure (33017)
Describes a typical procedural workflow and imaging-supported workflow for the example tied to one of the revised drainage codes.
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Clinical Example (33018)
Presents an example scenario and procedural narrative for a pediatric or congenital-anomaly-related drainage service under the revised coding structure.
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Description of Procedure (33018)
Describes a typical procedural workflow and imaging-supported workflow for the example tied to the pediatric or congenital-anomaly-related drainage code.
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Clinical Example (33019)
Presents an example scenario and procedural narrative for a CT-guided pericardial drainage service under the revised coding structure.
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Description of Procedure (33019)
Describes a typical CT-guided procedural workflow and imaging review process for the example tied to the CT-specific drainage code.
What You Will Learn
- How the 2020 CPT pericardium subsection was reorganized
- What general types of reporting guidance accompany the revised procedures
- How the article frames the relationship between the updated codes and typical clinical scenarios
- What kinds of procedural examples are used to illustrate the new framework
Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Cardiology clinicians
- Hospital documentation staff
Codes Discussed
Code Ranges Discussed
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