0RG7071Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

0RG7071 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: posterior approach, posterior 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 posterior column, posterior 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 (81.05, 81.62 and 81.63).

For a different body part, codes include 0RG0071 (occipital-cervical joint), 0RG1071 (cervical vertebral joint), 0RG2071 (cervical vertebral joints, 2 or more), 0RG4071 (cervicothoracic vertebral joint), 0RG6071 (thoracic vertebral joint), 0RG8071 (thoracic vertebral joints, 8 or more) and 1 more.

The same procedure with a different approach is coded 0RG7371 (percutaneous) and 0RG7471 (percutaneous endoscopic).

With a different device, use 0RG70J1 (synthetic substitute) and 0RG70K1 (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.