I'm going to assume this is the same provider who did the CABG, and I would go with 32120-78.
I'm not actually seeing where they made a pericadial window, they say there is bloody fluid coming from the pericardium but I don't see them cutting into it. Unless I'm reading it wrong. Pericardial window for drainage is 33025 and based on my claim scrubber both codes can be billed together but based on what I am reading I would only go with the thoracotomy.
Laura, CPC, CPMA, CEMC
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