2025 CPT code 33202
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures - Cardiovascular System Surgery Feed
Insertion of epicardial electrode(s) via an open incision (e.g., thoracotomy, median sternotomy, subxiphoid approach).
Modifiers may be applicable depending on the circumstances of the procedure and any additional services provided. Consult the NCCI edits for specific guidance.
Medical necessity is established by documentation supporting the need for epicardial pacing due to underlying cardiac conditions such as bradycardia, heart block, or other arrhythmias refractory to other treatment modalities.The chosen surgical approach should be medically justified.
The surgeon is responsible for the entire procedure, including making the incision, placing the electrode(s), and closing the incision.Anesthesiology services are also typically required.
In simple words: This code describes a heart surgery where the doctor makes an incision in the chest to place electrodes (small wires) directly on the outside of the heart. This is done to help the heart beat properly.
This CPT code encompasses the surgical insertion of one or more epicardial electrodes into the heart through an open incision.The procedure may involve a thoracotomy, median sternotomy, or subxiphoid approach, depending on the surgical needs and the patient's anatomy. The surgeon will carefully place the electrode(s) onto the epicardial surface, ensuring proper positioning and secure attachment.The incision is then closed using appropriate surgical techniques.
Example 1: A patient with bradycardia (slow heart rate) requiring epicardial pacing for improved cardiac output., A patient with heart block requiring epicardial pacing to restore normal rhythm., A patient undergoing cardiac surgery where epicardial lead placement is necessary as an adjunct to other procedures.
** This procedure carries inherent risks associated with open heart surgery; these risks must be clearly communicated to the patient.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiothoracic Surgery, Cardiac Electrophysiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center