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    v1.0.30
    OpenPayerBilling CodesDiseases and Disorders of the Circulatory SystemDRG 213-endovascular-abdominal-aorta-with-iliac-branch-procedures
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    Endovascular Abdominal Aorta with Iliac Branch Procedures: Inpatient Reimbursement Overview

    DRG 213 encompasses endovascular abdominal aorta procedures with iliac branch device placement for aortoiliac disease, involving specialized devices and perioperative care that affect inpatient resource use. This matters for inpatient reimbursement because the Diagnosis-Related Group reflects higher procedural and supply intensity that influences Medicare payment adjustments.

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    DRG 213 Overview

    DRG 213 covers endovascular repair procedures involving the abdominal aorta with placement of iliac branch devices for patients requiring treatment of aortoiliac pathology. This Diagnosis-Related Group captures resource use associated with complex endovascular techniques, device costs, and perioperative care that influence inpatient payment under Medicare. It is clinically distinct from standard endovascular abdominal aortic aneurysm repair due to the involvement of iliac branch reconstruction and potential for higher supply and imaging needs. Payers use this Diagnosis-Related Group designation to adjust reimbursement based on the expected intensity of services.

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    Clinical Trials

    • Trials comparing different endovascular device designs and deployment techniques for complex abdominal aortic aneurysms with iliac branch involvement, focusing on procedural success, need for adjunctive maneuvers, and early perioperative complications. These studies enroll patients presenting for elective or urgent endovascular repair of abdominal aortic aneurysms extending into the common or internal iliac arteries, often with challenging anatomy such as tortuosity or short landing zones; they evaluate technical feasibility and intraoperative metrics like contrast use and fluoroscopy time. Results inform procedural planning, device selection, and resource utilization that directly impact hospital costs, length of stay, and coding for this DRG, so payers and providers benefit from evidence guiding efficient, safe interventions.
    • Comparative effectiveness trials assessing endovascular iliac branch preservation strategies versus hybrid or open reconstruction in high‑risk surgical candidates, measuring midterm patency, limb ischemia prevention, reintervention rates, and quality of life. These studies target older patients with comorbidities (cardiopulmonary disease, renal impairment) for whom the balance between minimally invasive therapy and durability is critical; they often stratify by anatomical complexity and perioperative risk. Findings are relevant to discharge planning and downstream costs, as differences in reintervention frequency and complication profiles influence readmissions, long‑term surveillance needs, and overall payer expenditures associated with DRG 213.
    • Post‑discharge and device‑surveillance cohort studies that monitor long‑term outcomes such as endoleak incidence, graft migration, iliac limb occlusion, and secondary interventions, as well as patient‑reported outcomes and cost‑effectiveness of surveillance protocols. These observational studies follow patients treated with iliac branch endografts to define optimal imaging intervals, identify predictors of late failure, and quantify cumulative resource use over years after the index hospitalization. For providers and payers, this research clarifies the expected longitudinal burden of care, informs follow‑up regimens that balance early detection with cost containment, and supports reimbursement and coverage decisions tied to durable performance of endovascular repairs.

    Related Codes

    209-COMPLEX-AORTIC-ARCH-PROCEDURES

    Complex Aortic Arch Procedures: Inpatient Reimbursement Overview

    212-CONCOMITANT-AORTIC-AND-MITRAL-VALVE-PROCEDURES

    Concomitant Aortic and Mitral Valve Procedures: Inpatient Reimbursement Overview

    215-OTHER-HEART-ASSIST-SYSTEM-IMPLANT

    Other Heart Assist System Implant: Inpatient Reimbursement Overview

    216-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITH-CARDIAC-CATHETERIZATION-WITH-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC: Inpatient Reimbursement Overview

    217-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITH-CARDIAC-CATHETERIZATION-WITH-CC

    Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC: Inpatient Reimbursement Overview

    218-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITH-CARDIAC-CATHETERIZATION-WITHOUT-CC-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC: Inpatient Reimbursement Overview

    219-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITHOUT-CARDIAC-CATHETERIZATION-WITH-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures with MCC: Inpatient Reimbursement Overview

    220-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITHOUT-CARDIAC-CATHETERIZATION-WITH-CC

    Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC: Inpatient Reimbursement Overview

    221-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITHOUT-CARDIAC-CATHETERIZATION-WITHOUT-CC-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC: Inpatient Reimbursement Overview

    228-OTHER-CARDIOTHORACIC-PROCEDURES-WITH-MCC

    Other Cardiothoracic Procedures with MCC: Inpatient Reimbursement Overview

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    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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