ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2VE includes procedures performed to restrict the lumen of the descending thoracic aorta and the abdominal aorta using intraluminal devices. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous partial closure of the aortic lumen is performed to alter flow in the descending thoracic and abdominal aorta involving branched devices. Accurate coding within the ICD-10-PCS X2VE group is essential for proper inpatient reimbursement, as it captures the procedure performed and the complexity of device and anatomical involvement, supporting appropriate case mix assignment and payment.

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Descending Thoracic Aorta And Abdominal Aorta Restriction Procedure Overview

This procedure group includes percutaneous restriction procedures performed on the descending thoracic aorta and the abdominal aorta using a manufactured integrated branched intraluminal device targeting four or more arteries within the cardiovascular system. These interventions involve partially closing the lumen of the tubular aortic segments to modify blood flow. Accurate coding of these New Technology procedures is important for inpatient reimbursement because it captures the specific root operation, device complexity, and anatomical extent of the procedure.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
V	Operation	Restriction
E	Body Part	Descending Thoracic Aorta and Abdominal Aorta

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ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview

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Descending Thoracic Aorta And Abdominal Aorta Restriction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
V	Operation	Restriction
E	Body Part	Descending Thoracic Aorta and Abdominal Aorta

When to Use

Use a code from this group when a percutaneous restriction procedure is performed on the descending thoracic aorta and abdominal aorta using a branched intraluminal device that engages four or more arteries. These codes apply when the procedure partially closes the aortic lumen as the principal operative action and is documented in the inpatient record.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2VE3SA	Restriction of Descending Thoracic Aorta and Abdominal Aorta using Branched Intraluminal Device, Manufactured Integrated System, Four or More Arteries, Percutaneous Approach, New Technology Group 10

DRG Codes

16 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC

Showing 1–10 of 16

Typical Clinical Scenarios

An elderly patient with extensive thoracoabdominal aortic aneurysmal disease involving the descending thoracic aorta and extending into the abdominal aorta presents electively for endovascular repair to prevent rupture; preoperative imaging shows involvement of multiple visceral and renal branch origins requiring a branched intraluminal device to preserve flow while reducing lumen diameter to exclude the aneurysm. The procedure is performed percutaneously using a manufactured integrated branched device engaging four or more arteries to partially close and redirect flow within the affected aortic segments. Typical codes: X2VE3SA
A middle-aged patient with chronic aortic dissection of the descending thoracic and abdominal aorta has progressive malperfusion of visceral organs and lower extremities despite medical therapy, prompting urgent inpatient endovascular intervention; the team places a branched integrated intraluminal system percutaneously to restrict the true lumen and restore adequate branch perfusion. The intervention specifically targets the descending thoracic and abdominal aortic segments and uses a branched device involving four or more arteries to achieve luminal restriction and flow redistribution. Typical codes: X2VE3SA
A patient admitted for symptomatic migration and endoleak after prior thoracoabdominal stent grafting undergoes a percutaneous revision using a manufactured integrated branched intraluminal device to partially re‑close the lumen and re‑seal the thoracic and abdominal aortic segments while preserving multiple branch vessels. This inpatient revision addresses device-related complication and requires a branched system engaging four or more arteries to achieve adequate luminal restriction and seal. Typical codes: X2VE3SA

Related Codes

X2V7-CORONARY-SINUS-RESTRICTION

ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview

X2VW-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

X2VY-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aortic Arch And Descending Thoracic Aorta: Procedure Code Group Overview

Frequently Asked Questions

References

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.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.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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When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2VE3SA	Restriction of Descending Thoracic Aorta and Abdominal Aorta using Branched Intraluminal Device, Manufactured Integrated System, Four or More Arteries, Percutaneous Approach, New Technology Group 10

DRG Codes

16 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC

Showing 1–10 of 16

Typical Clinical Scenarios

An elderly patient with extensive thoracoabdominal aortic aneurysmal disease involving the descending thoracic aorta and extending into the abdominal aorta presents electively for endovascular repair to prevent rupture; preoperative imaging shows involvement of multiple visceral and renal branch origins requiring a branched intraluminal device to preserve flow while reducing lumen diameter to exclude the aneurysm. The procedure is performed percutaneously using a manufactured integrated branched device engaging four or more arteries to partially close and redirect flow within the affected aortic segments. Typical codes: X2VE3SA
A middle-aged patient with chronic aortic dissection of the descending thoracic and abdominal aorta has progressive malperfusion of visceral organs and lower extremities despite medical therapy, prompting urgent inpatient endovascular intervention; the team places a branched integrated intraluminal system percutaneously to restrict the true lumen and restore adequate branch perfusion. The intervention specifically targets the descending thoracic and abdominal aortic segments and uses a branched device involving four or more arteries to achieve luminal restriction and flow redistribution. Typical codes: X2VE3SA
A patient admitted for symptomatic migration and endoleak after prior thoracoabdominal stent grafting undergoes a percutaneous revision using a manufactured integrated branched intraluminal device to partially re‑close the lumen and re‑seal the thoracic and abdominal aortic segments while preserving multiple branch vessels. This inpatient revision addresses device-related complication and requires a branched system engaging four or more arteries to achieve adequate luminal restriction and seal. Typical codes: X2VE3SA

Related Codes

X2V7-CORONARY-SINUS-RESTRICTION

ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview

X2VW-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

X2VY-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aortic Arch And Descending Thoracic Aorta: Procedure Code Group Overview

Frequently Asked Questions

References

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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview policy alerts

Descending Thoracic Aorta And Abdominal Aorta Restriction Procedure Overview

Code Attributes

ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview policy alerts

Descending Thoracic Aorta And Abdominal Aorta Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents restriction of the descending thoracic aorta and abdominal aorta with a branched intraluminal device for four or more arteries?

What is the root operation and body system for codes in the X2VE group?

What procedural approach and device complexity does `X2VE3SA` indicate?

Why is accurate coding within the X2VE group important for inpatient reimbursement?

Which DRG categories may be related to procedures in this code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents restriction of the descending thoracic aorta and abdominal aorta with a branched intraluminal device for four or more arteries?

What is the root operation and body system for codes in the X2VE group?

What procedural approach and device complexity does `X2VE3SA` indicate?

Why is accurate coding within the X2VE group important for inpatient reimbursement?

Which DRG categories may be related to procedures in this code group?

References