0RGA471Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach

0RGA471 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: posterior approach, posterior 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 0RG0471 (occipital-cervical joint), 0RG1471 (cervical vertebral joint), 0RG2471 (cervical vertebral joints, 2 or more), 0RG4471 (cervicothoracic vertebral joint), 0RG6471 (thoracic vertebral joint), 0RG7471 (thoracic vertebral joints, 2 to 7) and 1 more.

The same procedure with a different approach is coded 0RGA071 (open) and 0RGA371 (percutaneous).

With a different device, use 0RGA4J1 (synthetic substitute) and 0RGA4K1 (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.