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ICD-10-PCS 2027 procedure code

0RG74J0Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion 2-7 T Jt w Synth Sub, Ant 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 0RG74J0

0RG74J0 is the ICD-10-PCS code for a fusion procedure on the thoracic vertebral joints, 2 to 7 using a percutaneous endoscopic approach with synthetic 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 0RG04J0 (occipital-cervical joint), 0RG14J0 (cervical vertebral joint), 0RG24J0 (cervical vertebral joints, 2 or more), 0RG44J0 (cervicothoracic vertebral joint), 0RG64J0 (thoracic vertebral joint), 0RG84J0 (thoracic vertebral joints, 8 or more) and 1 more.

The same procedure with a different approach is coded 0RG70J0 (open) and 0RG73J0 (percutaneous).

With a different device, use 0RG7470 (autologous tissue substitute), 0RG74A0 (interbody fusion device) and 0RG74K0 (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
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
0Anterior Approach, Anterior Column

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple Level Spinal Fusion Except Cervical

ICD-9-CM equivalent

Converter →
  • 81.04Dorsal and dorsolumbar fusion of the anterior column, anterior 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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0RG74J0

Is 0RG74J0 a valid ICD-10-PCS code for 2027?

Yes. 0RG74J0 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RG74J0 an O.R. procedure?

Yes. 0RG74J0 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RG74J0 group to?

Depending on the principal diagnosis, 0RG74J0 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 0RG74J0?

The CMS GEMs map 0RG74J0 to ICD-9-CM 81.04 (Dorsal and dorsolumbar fusion of the anterior column, anterior technique), 81.62 (Fusion or refusion of 2-3 vertebrae) and 81.63 (Fusion or refusion of 4-8 vertebrae).