ICD-10-PCS 2027 procedure code
0RGA4KJFusion of Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short description: Fusion T-lum Jt w Nonaut Sub, Post 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 0RGA4KJ
0RGA4KJ is the ICD-10-PCS code for a fusion procedure on the thoracolumbar vertebral joint using a percutaneous endoscopic approach with nonautologous 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 0RG04KJ (occipital-cervical joint), 0RG14KJ (cervical vertebral joint), 0RG24KJ (cervical vertebral joints, 2 or more), 0RG44KJ (cervicothoracic vertebral joint), 0RG64KJ (thoracic vertebral joint), 0RG74KJ (thoracic vertebral joints, 2 to 7) and 1 more.
The same procedure with a different approach is coded 0RGA0KJ (open) and 0RGA3KJ (percutaneous).
With a different device, use 0RGA47J (autologous tissue substitute), 0RGA4AJ (interbody fusion device), 0RGA4EJ (interbody fusion device, custom-made anatomically and virtually designed) and 0RGA4JJ (synthetic 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
- KNonautologous Tissue Substitute
Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft
- 7. Qualifier
- JPosterior 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 →- 81.05Dorsal and dorsolumbar fusion of the posterior column, posterior 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 0RGA4KJ
Is 0RGA4KJ a valid ICD-10-PCS code for 2027?
- Yes. 0RGA4KJ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGA4KJ an O.R. procedure?
- Yes. 0RGA4KJ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGA4KJ group to?
- Depending on the principal diagnosis, 0RGA4KJ 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 0RGA4KJ?
- The CMS GEMs map 0RGA4KJ to ICD-9-CM 81.05 (Dorsal and dorsolumbar fusion of the posterior column, posterior technique).