ICD-10-PCS 2027 procedure code
0RGA3EJFusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Posterior Approach, Anterior Column, Percutaneous Approach
Short description: Fusion T-lum Jt w IFD Cust Dsin, Post Appr A Col, Perc
Code last changed in FY2027 (effective October 1, 2026). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RGA3EJ
0RGA3EJ is the ICD-10-PCS code for a fusion procedure on the thoracolumbar vertebral joint using a percutaneous approach with interbody fusion device, custom-made anatomically and virtually designed (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.
The same procedure with a different approach is coded 0RGA0EJ (open) and 0RGA4EJ (percutaneous endoscopic).
With a different device, use 0RGA37J (autologous tissue substitute), 0RGA3AJ (interbody fusion device), 0RGA3JJ (synthetic substitute) and 0RGA3KJ (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 was added in FY2027, effective October 1, 2026.
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
- 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
- EInterbody Fusion Device, Custom-Made Anatomically and Virtually Designed
- 7. Qualifier
- JPosterior Approach, Anterior Column
Other versions of this procedure
Different approach
Different device
Different qualifier
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
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2027 (effective 10/1/2026): Added
Common questions about 0RGA3EJ
Is 0RGA3EJ a valid ICD-10-PCS code for 2027?
- Yes. 0RGA3EJ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGA3EJ an O.R. procedure?
- Yes. 0RGA3EJ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGA3EJ group to?
- Depending on the principal diagnosis, 0RGA3EJ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 523, MS-DRG 524 and MS-DRG 525.