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ICD-10-PCS 2027 procedure code

0RGA0J0Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion T-lum Jt w Synth Sub, Ant Appr A Col, Open

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 0RGA0J0

0RGA0J0 is the ICD-10-PCS code for a fusion procedure on the thoracolumbar vertebral joint using an open 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, the ICD-9-CM procedure title it maps to (81.04).

For a different body part, codes include 0RG00J0 (occipital-cervical joint), 0RG10J0 (cervical vertebral joint), 0RG20J0 (cervical vertebral joints, 2 or more), 0RG40J0 (cervicothoracic vertebral joint), 0RG60J0 (thoracic vertebral joint), 0RG70J0 (thoracic vertebral joints, 2 to 7) and 1 more.

The same procedure with a different approach is coded 0RGA3J0 (percutaneous) and 0RGA4J0 (percutaneous endoscopic).

With a different device, use 0RGA070 (autologous tissue substitute), 0RGA0A0 (interbody fusion device), 0RGA0E0 (interbody fusion device, custom-made anatomically and virtually designed) and 0RGA0K0 (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.

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
AThoracolumbar Vertebral Joint

Includes: Thoracolumbar facet joint

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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 · Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical

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

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

ICD-9-CM equivalent

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

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 0RGA0J0

Is 0RGA0J0 a valid ICD-10-PCS code for 2027?

Yes. 0RGA0J0 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGA0J0 an O.R. procedure?

Yes. 0RGA0J0 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGA0J0 group to?

Depending on the principal diagnosis, 0RGA0J0 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 402, MS-DRG 426 and MS-DRG 427.

What is the ICD-9 procedure code for 0RGA0J0?

The CMS GEMs map 0RGA0J0 to ICD-9-CM 81.04 (Dorsal and dorsolumbar fusion of the anterior column, anterior technique).