ICD-10-PCS 2027 procedure code
0RG83J1Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
Short description: Fusion >7 T Jt w Synth Sub, Post Appr P 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 0RG83J1
0RG83J1 is the ICD-10-PCS code for a fusion procedure on the thoracic vertebral joints, 8 or more using a percutaneous approach with synthetic 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 4-8 vertebrae and fusion or refusion of 9 or more vertebrae, the ICD-9-CM procedure titles it maps to (81.05, 81.63 and 81.64).
For a different body part, codes include 0RG03J1 (occipital-cervical joint), 0RG13J1 (cervical vertebral joint), 0RG23J1 (cervical vertebral joints, 2 or more), 0RG43J1 (cervicothoracic vertebral joint), 0RG63J1 (thoracic vertebral joint), 0RG73J1 (thoracic vertebral joints, 2 to 7) and 1 more.
The same procedure with a different approach is coded 0RG80J1 (open) and 0RG84J1 (percutaneous endoscopic).
With a different device, use 0RG8371 (autologous tissue substitute) and 0RG83K1 (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.
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
- 8Thoracic Vertebral Joints, 8 or more
- 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
- 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
- 1Posterior Approach, Posterior Column
Other versions of this procedure
Different body part
Different approach
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 · Extensive or Complex Spinal Fusion Procedures Except Cervical
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
- 81.63Fusion or refusion of 4-8 vertebraeapproximate, combination
- 81.64Fusion or refusion of 9 or more 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 0RG83J1
Is 0RG83J1 a valid ICD-10-PCS code for 2027?
- Yes. 0RG83J1 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RG83J1 an O.R. procedure?
- Yes. 0RG83J1 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RG83J1 group to?
- Depending on the principal diagnosis, 0RG83J1 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 523, MS-DRG 524 and MS-DRG 525.
What is the ICD-9 procedure code for 0RG83J1?
- The CMS GEMs map 0RG83J1 to ICD-9-CM 81.05 (Dorsal and dorsolumbar fusion of the posterior column, posterior technique), 81.63 (Fusion or refusion of 4-8 vertebrae) and 81.64 (Fusion or refusion of 9 or more vertebrae).