ICD-10-PCS 2027 procedure code
0RG44AJFusion of Cervicothoracic Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short description: Fusion C-thor Jt w Intbd Fus Dev, Post Appr A Col, Perc Endo
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 0RG44AJ
0RG44AJ is the ICD-10-PCS code for a fusion procedure on the cervicothoracic vertebral joint using a percutaneous endoscopic 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 0RG04AJ (occipital-cervical joint), 0RG14AJ (cervical vertebral joint), 0RG24AJ (cervical vertebral joints, 2 or more), 0RG64AJ (thoracic vertebral joint), 0RG74AJ (thoracic vertebral joints, 2 to 7), 0RG84AJ (thoracic vertebral joints, 8 or more) and 1 more.
The same procedure with a different approach is coded 0RG40AJ (open) and 0RG43AJ (percutaneous).
With a different device, use 0RG447J (autologous tissue substitute), 0RG44JJ (synthetic substitute) and 0RG44KJ (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.
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
- 4Cervicothoracic Vertebral Joint
Includes: Cervicothoracic facet joint
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- AInterbody Fusion Device
- 7. Qualifier
- JPosterior Approach, Anterior Column
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Combined Anterior and Posterior Cervical Spinal Fusion
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Cervical Spinal Fusion
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 81.03Other cervical fusion of the posterior column, posterior techniqueapproximate, combination
- 84.51Insertion of interbody spinal fusion deviceapproximate, combination
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RG44AJ
Is 0RG44AJ a valid ICD-10-PCS code for 2027?
- Yes. 0RG44AJ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RG44AJ an O.R. procedure?
- Yes. 0RG44AJ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RG44AJ group to?
- Depending on the principal diagnosis, 0RG44AJ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 429, MS-DRG 430 and MS-DRG 471.
What is the ICD-9 procedure code for 0RG44AJ?
- The CMS GEMs map 0RG44AJ to ICD-9-CM 81.03 (Other cervical fusion of the posterior column, posterior technique) and 84.51 (Insertion of interbody spinal fusion device).