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    v1.0.28
    OpenPayerBilling CodesDiseases and Disorders of the Circulatory SystemDRG 300-peripheral-vascular-disorders-with-cc
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    Peripheral Vascular Disorders with CC: Inpatient Reimbursement Overview

    DRG 300 covers inpatient admissions for peripheral vascular disorders when a Complication or Comorbidity is present, affecting clinical management and resource use. This grouping matters for inpatient reimbursement because Diagnosis-Related Group assignment determines the Centers for Medicare & Medicaid Services prospective payment for the hospital stay.

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    DRG 300 Overview

    DRG 300 covers inpatient hospital admissions for peripheral vascular disorders with a Complication or Comorbidity, including diagnoses such as peripheral arterial disease with ischemia, venous thromboembolism when coded as related vascular complications, and other non-major vascular conditions that prolong care. This Diagnosis-Related Group groups patients who require additional resources beyond uncomplicated vascular cases due to the presence of a Complication or Comorbidity that impacts treatment intensity, length of stay, and resource use. It matters for Medicare payment because the Diagnosis-Related Group assignment influences the prospective payment amount and hospital reimbursement for these vascular admissions. Accurate documentation and coding of the Complication or Comorbidity determine grouping into DRG 300 rather than a lower-weighted DRG.

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    Clinical Trials

    • Acute endovascular intervention trials: Studies evaluating timing, techniques, and immediate outcomes of endovascular procedures (angioplasty, stenting, thrombectomy, or catheter-directed thrombolysis) for patients hospitalized with critical limb ischemia or acute limb-threatening ischemia secondary to peripheral vascular disease. These trials target inpatients presenting with ischemic rest pain, tissue loss, or acute arterial occlusion, comparing procedural strategies, anesthesia approaches, or adjunctive peri-procedural care to optimize limb salvage and reduce in-hospital complications. Results are directly relevant to providers and payers because they inform decisions that affect length of stay, resource utilization, need for repeat procedures, and immediate costs associated with acute management under this DRG.
    • Comparative effectiveness and medical optimization studies: Trials comparing medical management strategies — such as intensified antiplatelet/anticoagulant regimens, supervised exercise programs initiated in the inpatient or early post-discharge period, wound care protocols, or multidisciplinary vascular care pathways — for patients with chronic peripheral arterial disease complicated by infections or ischemic ulcers. These studies enroll hospitalized patients with comorbidities (diabetes, renal disease, heart disease) and aim to determine which non-surgical or adjunctive strategies reduce progression to major amputation, readmissions, and perioperative complications. Findings guide clinicians and payers on allocating inpatient resources, tailoring discharge planning, and prioritizing interventions that may lower downstream costs and improve functional outcomes.
    • Post-discharge outcomes and health services research: Observational cohort studies and pragmatic trials assessing 30- to 90-day readmissions, wound healing trajectories, functional status, and cost-effectiveness of care coordination models (home health, outpatient vascular clinics, telemedicine follow-up) for patients discharged after treatment for peripheral vascular disorders with CC. These investigations focus on patients with high comorbidity burden and social determinants that affect recovery, measuring how different post-discharge supports impact rehospitalization rates, subsequent procedures, and overall healthcare spending. This research is crucial for payers and hospital administrators seeking to reduce avoidable readmissions, optimize post-acute care bundles, and align reimbursement models with value-based outcomes for this DRG.

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    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

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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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