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Percutaneous Pericardial window for cardiac tamponade

Date: Dec 3, 2021

Question:

"Under fluoroscopic guidance the pericardial spaces was accessed using a Tuohy needle and contrast guidance. A 035 J wire was placed. 660 cc of bloody fluid was removed using a Boston Scientific pericardial drain. The pericardium was then dilated with a 40 x 10 Powerflex balloon creating a window. Echocardiography documented no residual fluid. Fluoroscopically the left heart border moved well. No more fluid could be aspirated. The drain was then removed and an occlusive dressing was applied."

Provider wants to bill code 33025. I disagree and am leaning toward 33016 since the drain was removed. Thoughts?

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