ICD-10-PCS 2027 procedure code
0RGA470Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short description: Fusion T-lum Jt w Autol Sub, Ant Appr A Col, Perc Endo
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 0RGA470
0RGA470 is the ICD-10-PCS code for a fusion procedure on the thoracolumbar vertebral joint using a percutaneous endoscopic approach with autologous tissue 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 0RG0470 (occipital-cervical joint), 0RG1470 (cervical vertebral joint), 0RG2470 (cervical vertebral joints, 2 or more), 0RG4470 (cervicothoracic vertebral joint), 0RG6470 (thoracic vertebral joint), 0RG7470 (thoracic vertebral joints, 2 to 7) and 1 more.
The same procedure with a different approach is coded 0RGA070 (open) and 0RGA370 (percutaneous).
With a different device, use 0RGA4A0 (interbody fusion device), 0RGA4E0 (interbody fusion device, custom-made anatomically and virtually designed), 0RGA4J0 (synthetic substitute) and 0RGA4K0 (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
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- 0Anterior Approach, Anterior Column
Other versions of this procedure
Different body part
Different approach
Different device
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 · Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple 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
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection
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 →- 81.04Dorsal and dorsolumbar fusion of the anterior column, anterior techniqueapproximate
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 0RGA470
Is 0RGA470 a valid ICD-10-PCS code for 2027?
- Yes. 0RGA470 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGA470 an O.R. procedure?
- Yes. 0RGA470 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGA470 group to?
- Depending on the principal diagnosis, 0RGA470 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 0RGA470?
- The CMS GEMs map 0RGA470 to ICD-9-CM 81.04 (Dorsal and dorsolumbar fusion of the anterior column, anterior technique).