0RG84AJFusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach

0RG84AJ is the ICD-10-PCS code for a fusion procedure on the thoracic vertebral joints, 8 or more using a percutaneous endoscopic approach with interbody fusion device (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 4-8 vertebrae, fusion or refusion of 9 or more vertebrae and 1 more, the ICD-9-CM procedure titles it maps to (81.05, 81.63, 81.64 and 1 more).

For a different body part, codes include 0RG04AJ (occipital-cervical joint), 0RG14AJ (cervical vertebral joint), 0RG24AJ (cervical vertebral joints, 2 or more), 0RG44AJ (cervicothoracic vertebral joint), 0RG64AJ (thoracic vertebral joint), 0RG74AJ (thoracic vertebral joints, 2 to 7) and 1 more.

The same procedure with a different approach is coded 0RG80AJ (open) and 0RG83AJ (percutaneous).

With a different device, use 0RG847J (autologous tissue substitute), 0RG84JJ (synthetic substitute) and 0RG84KJ (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.