ICD-10-PCS 2027 procedure code
0RG737JFusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
Short description: Fusion 2-7 T Jt w Autol Sub, Post Appr A Col, Perc
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 0RG737J
0RG737J is the ICD-10-PCS code for a fusion procedure on the thoracic vertebral joints, 2 to 7 using a percutaneous approach with autologous tissue substitute (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 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 0RG037J (occipital-cervical joint), 0RG137J (cervical vertebral joint), 0RG237J (cervical vertebral joints, 2 or more), 0RG437J (cervicothoracic vertebral joint), 0RG637J (thoracic vertebral joint), 0RG837J (thoracic vertebral joints, 8 or more) and 1 more.
The same procedure with a different approach is coded 0RG707J (open) and 0RG747J (percutaneous endoscopic).
With a different device, use 0RG73AJ (interbody fusion device), 0RG73JJ (synthetic substitute) and 0RG73KJ (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.
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
- 7Thoracic Vertebral Joints, 2 to 7
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- JPosterior Approach, Anterior Column
Other versions of this procedure
Different body part
Different approach
Different device
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 · Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple Level Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection
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 →- 81.05Dorsal and dorsolumbar fusion of the posterior column, posterior techniqueapproximate, combination
- 81.62Fusion or refusion of 2-3 vertebraeapproximate, combination
- 81.63Fusion or refusion of 4-8 vertebraeapproximate, 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 0RG737J
Is 0RG737J a valid ICD-10-PCS code for 2027?
- Yes. 0RG737J is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RG737J an O.R. procedure?
- Yes. 0RG737J is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RG737J group to?
- Depending on the principal diagnosis, 0RG737J can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 426, MS-DRG 427 and MS-DRG 428.
What is the ICD-9 procedure code for 0RG737J?
- The CMS GEMs map 0RG737J to ICD-9-CM 81.05 (Dorsal and dorsolumbar fusion of the posterior column, posterior technique), 81.62 (Fusion or refusion of 2-3 vertebrae) and 81.63 (Fusion or refusion of 4-8 vertebrae).