0RG10AJFusion of Cervical Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach

0RG10AJ is the ICD-10-PCS code for a fusion procedure on the cervical vertebral joint using an open approach with interbody fusion device (qualifier: posterior 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 other cervical fusion of the posterior column, posterior technique and insertion of interbody spinal fusion device, the ICD-9-CM procedure titles it maps to (81.03 and 84.51).

For a different body part, codes include 0RG00AJ (occipital-cervical joint), 0RG20AJ (cervical vertebral joints, 2 or more), 0RG40AJ (cervicothoracic vertebral joint), 0RG60AJ (thoracic vertebral joint), 0RG70AJ (thoracic vertebral joints, 2 to 7), 0RG80AJ (thoracic vertebral joints, 8 or more) and 1 more.

The same procedure with a different approach is coded 0RG13AJ (percutaneous) and 0RG14AJ (percutaneous endoscopic).

With a different device, use 0RG107J (autologous tissue substitute), 0RG10JJ (synthetic substitute) and 0RG10KJ (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 429 (Combined Anterior and Posterior Cervical Spinal Fusion with MCC), DRG 430 (Combined Anterior and Posterior Cervical Spinal Fusion without MCC) and DRG 471 (Cervical Spinal Fusion with MCC), under the surgical categories “Spinal Procedures”, “Combined Anterior and Posterior Cervical Spinal Fusion”, “Cervical Spinal Fusion” and 2 more.

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