Skip to content
Dx

ICD-10-PCS 2027 procedure code

0RG03J0Fusion of Occipital-cervical Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion Occip Jt w Synth Sub, Ant Appr A Col, Perc

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0RG03J0

0RG03J0 is the ICD-10-PCS code for a fusion procedure on the occipital-cervical joint using a percutaneous approach with synthetic substitute (qualifier: anterior approach, anterior column). In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

In plain terms, this corresponds to atlas-axis spinal fusion, the ICD-9-CM procedure title it maps to (81.01).

For a different body part, codes include 0RG13J0 (cervical vertebral joint), 0RG23J0 (cervical vertebral joints, 2 or more), 0RG43J0 (cervicothoracic vertebral joint), 0RG63J0 (thoracic vertebral joint), 0RG73J0 (thoracic vertebral joints, 2 to 7), 0RG83J0 (thoracic vertebral joints, 8 or more) and 1 more.

The same procedure with a different approach is coded 0RG00J0 (open) and 0RG04J0 (percutaneous endoscopic).

With a different device, use 0RG0370 (autologous tissue substitute), 0RG03A0 (interbody fusion device) and 0RG03K0 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 471 (Cervical Spinal Fusion with MCC), DRG 472 (Cervical Spinal Fusion with CC) and DRG 473 (Cervical Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Cervical Spinal Fusion”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
RUpper Joints
3. Operation
GFusion

Joining together portions of an articular body part rendering the articular body part immobile

The body part is joined together by fixation device, bone graft, or other means

Includes: Spinal fusion, ankle arthrodesis

4. Body Part
0Occipital-cervical Joint
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
0Anterior Approach, Anterior Column

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Cervical Spinal Fusion

ICD-9-CM equivalent

Converter →
  • 81.01Atlas-axis spinal fusionapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0RG03J0

Is 0RG03J0 a valid ICD-10-PCS code for 2027?

Yes. 0RG03J0 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RG03J0 an O.R. procedure?

Yes. 0RG03J0 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RG03J0 group to?

Depending on the principal diagnosis, 0RG03J0 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 471, MS-DRG 472 and MS-DRG 473.

What is the ICD-9 procedure code for 0RG03J0?

The CMS GEMs map 0RG03J0 to ICD-9-CM 81.01 (Atlas-axis spinal fusion).