0RG4070Fusion of Cervicothoracic Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach

0RG4070 is the ICD-10-PCS code for a fusion procedure on the cervicothoracic vertebral joint using an open approach with autologous tissue 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 other cervical fusion of the anterior column, anterior technique, the ICD-9-CM procedure title it maps to (81.02).

For a different body part, codes include 0RG0070 (occipital-cervical joint), 0RG1070 (cervical vertebral joint), 0RG2070 (cervical vertebral joints, 2 or more), 0RG6070 (thoracic vertebral joint), 0RG7070 (thoracic vertebral joints, 2 to 7), 0RG8070 (thoracic vertebral joints, 8 or more) and 1 more.

The same procedure with a different approach is coded 0RG4370 (percutaneous) and 0RG4470 (percutaneous endoscopic).

With a different device, use 0RG40A0 (interbody fusion device), 0RG40J0 (synthetic substitute) and 0RG40K0 (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.