2025 CPT code 33050
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Resection of pericardial cyst or tumor.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the CPT manual for details.
Resection is medically necessary when the pericardial cyst or tumor causes symptoms (such as chest pain, dyspnea, or cardiac compression) or when there's a risk of malignant transformation. The size and location of the mass and the patient’s overall health must be considered when deciding if surgical intervention is necessary.
The surgeon is responsible for prepping the patient, making the incision (median sternotomy or anterolateral thoracotomy), excising the mass with clear margins, potentially using a bovine pericardial patch for repair, closing the surgical incisions, and dressing the wound. Anesthesiologist may be involved for anesthesia.
In simple words: The doctor removes a cyst or tumor from the sac around the heart. This involves an incision in the chest, removal of the growth, and closing the incision.
This CPT code describes the surgical removal of a cyst or tumor from the pericardium, the sac-like membrane surrounding the heart.The procedure typically involves an incision (median sternotomy or anterolateral thoracotomy), excision of the mass with margins, and potentially the use of a bovine pericardial patch for closure.The surgical incisions are then closed and dressed.
Example 1: A 55-year-old male presents with a large pericardial cyst causing significant cardiac compression.Median sternotomy is performed, the cyst is resected, and a pericardial patch is used to repair the defect. , A 30-year-old female presents with a symptomatic pericardial tumor detected by imaging. An anterolateral thoracotomy is performed, the tumor is completely resected with clear margins, and the incision is closed., A 70-year-old male is found to have a small, incidental pericardial cyst during a cardiac surgery. The cyst is resected during the same procedure with minimal additional time or resources.
Preoperative imaging (CT scan or MRI) demonstrating the size and location of the lesion.Operative report detailing the approach (sternotomy or thoracotomy), the size and characteristics of the resected mass, the use of any patch material, and the technique of closure.Pathology report confirming the diagnosis and indicating the completeness of resection. Postoperative imaging (optional) to ensure no residual mass or complications.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- Payment Status: Active
- Specialties:Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center