ICD-10-PCS 2027 procedure code
0RGF04ZFusion of Left Sternoclavicular Joint with Internal Fixation Device, Open Approach
Short description: Fusion of L Sternoclav Jt with Int Fix, Open Approach
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 0RGF04Z
0RGF04Z is the ICD-10-PCS code for a fusion procedure on the left sternoclavicular joint using an open approach with internal fixation device. 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 arthrodesis of shoulder, the ICD-9-CM procedure title it maps to (81.23).
For a different body part, codes include 0RGC04Z (right temporomandibular joint), 0RGD04Z (left temporomandibular joint), 0RGE04Z (right sternoclavicular joint), 0RGG04Z (right acromioclavicular joint), 0RGH04Z (left acromioclavicular joint), 0RGJ04Z (right shoulder joint) and 13 more.
The same procedure with a different approach is coded 0RGF34Z (percutaneous) and 0RGF44Z (percutaneous endoscopic).
With a different device, use 0RGF07Z (autologous tissue substitute), 0RGF0JZ (synthetic substitute) and 0RGF0KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC) and DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), under the surgical category “Major Shoulder or Elbow Joint Procedures”.
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
- FSternoclavicular Joint, Left
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RGC04ZTemporomandibular Joint, Right
- 0RGD04ZTemporomandibular Joint, Left
- 0RGE04ZSternoclavicular Joint, Right
- 0RGG04ZAcromioclavicular Joint, Right
- 0RGH04ZAcromioclavicular Joint, Left
- 0RGJ04ZShoulder Joint, Right
- 0RGK04ZShoulder Joint, Left
- 0RGL04ZElbow Joint, Right
- 0RGM04ZElbow Joint, Left
- 0RGN04ZWrist Joint, Right
- 0RGP04ZWrist Joint, Left
- 0RGQ04ZCarpal Joint, Right
Different approach
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 · Major Shoulder or Elbow Joint Procedures
ICD-9-CM equivalent
Converter →- 81.23Arthrodesis of shoulderapproximate
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 0RGF04Z
Is 0RGF04Z a valid ICD-10-PCS code for 2027?
- Yes. 0RGF04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGF04Z an O.R. procedure?
- Yes. 0RGF04Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGF04Z group to?
- Depending on the principal diagnosis, 0RGF04Z can group to MS-DRG 507 and MS-DRG 508.
What is the ICD-9 procedure code for 0RGF04Z?
- The CMS GEMs map 0RGF04Z to ICD-9-CM 81.23 (Arthrodesis of shoulder).