0RGA07JFusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach

0RGA07J is the ICD-10-PCS code for a fusion procedure on the thoracolumbar vertebral joint using an open 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, the ICD-9-CM procedure title it maps to (81.05).

For a different body part, codes include 0RG007J (occipital-cervical joint), 0RG107J (cervical vertebral joint), 0RG207J (cervical vertebral joints, 2 or more), 0RG407J (cervicothoracic vertebral joint), 0RG607J (thoracic vertebral joint), 0RG707J (thoracic vertebral joints, 2 to 7) and 1 more.

The same procedure with a different approach is coded 0RGA37J (percutaneous) and 0RGA47J (percutaneous endoscopic).

With a different device, use 0RGA0AJ (interbody fusion device), 0RGA0EJ (interbody fusion device, custom-made anatomically and virtually designed), 0RGA0JJ (synthetic substitute) and 0RGA0KJ (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 402 (Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical), DRG 426 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC) and DRG 427 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC), under the surgical categories “Spinal Procedures”, “Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical”, “Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical” and 5 more.

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