0RG7070Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach

0RG7070 is the ICD-10-PCS code for a fusion procedure on the thoracic vertebral joints, 2 to 7 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 dorsal and dorsolumbar fusion of the anterior column, anterior technique, fusion or refusion of 2-3 vertebrae and fusion or refusion of 4-8 vertebrae, the ICD-9-CM procedure titles it maps to (81.04, 81.62 and 81.63).

For a different body part, codes include 0RG0070 (occipital-cervical joint), 0RG1070 (cervical vertebral joint), 0RG2070 (cervical vertebral joints, 2 or more), 0RG4070 (cervicothoracic vertebral joint), 0RG6070 (thoracic vertebral joint), 0RG8070 (thoracic vertebral joints, 8 or more) and 1 more.

The same procedure with a different approach is coded 0RG7370 (percutaneous) and 0RG7470 (percutaneous endoscopic).

With a different device, use 0RG70A0 (interbody fusion device), 0RG70J0 (synthetic substitute) and 0RG70K0 (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 426 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC), DRG 427 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC) and DRG 428 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/MCC), under the surgical categories “Spinal Procedures”, “Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical”, “Multiple Level Spinal Fusion Except Cervical” and 3 more.

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