0RG8370Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach

0RG8370 is the ICD-10-PCS code for a fusion procedure on the thoracic vertebral joints, 8 or more using a percutaneous 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 4-8 vertebrae and fusion or refusion of 9 or more vertebrae, the ICD-9-CM procedure titles it maps to (81.04, 81.63 and 81.64).

For a different body part, codes include 0RG0370 (occipital-cervical joint), 0RG1370 (cervical vertebral joint), 0RG2370 (cervical vertebral joints, 2 or more), 0RG4370 (cervicothoracic vertebral joint), 0RG6370 (thoracic vertebral joint), 0RG7370 (thoracic vertebral joints, 2 to 7) and 1 more.

The same procedure with a different approach is coded 0RG8070 (open) and 0RG8470 (percutaneous endoscopic).

With a different device, use 0RG83A0 (interbody fusion device), 0RG83J0 (synthetic substitute) and 0RG83K0 (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 523 (Extensive or Complex Spinal Fusion Procedures Except Cervical with MCC), DRG 524 (Extensive or Complex Spinal Fusion Procedures Except Cervical with CC) and DRG 525 (Extensive or Complex Spinal Fusion Procedures Except Cervical without CC/MCC), under the surgical categories “Spinal Procedures”, “Extensive or Complex Spinal Fusion Procedures Except Cervical”, “Other O.R. Procedures for Injuries” and 1 more.

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