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ICD-10-PCS 2027 procedure code

0RGF0JZFusion of Left Sternoclavicular Joint with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of L Sternoclav Jt with Synth Sub, 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 0RGF0JZ

0RGF0JZ is the ICD-10-PCS code for a fusion procedure on the left sternoclavicular joint using an open approach with synthetic substitute. 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 0RGC0JZ (right temporomandibular joint), 0RGD0JZ (left temporomandibular joint), 0RGE0JZ (right sternoclavicular joint), 0RGG0JZ (right acromioclavicular joint), 0RGH0JZ (left acromioclavicular joint), 0RGJ0JZ (right shoulder joint) and 13 more.

The same procedure with a different approach is coded 0RGF3JZ (percutaneous) and 0RGF4JZ (percutaneous endoscopic).

With a different device, use 0RGF04Z (internal fixation device), 0RGF07Z (autologous tissue 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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0RGF0JZ

Is 0RGF0JZ a valid ICD-10-PCS code for 2027?

Yes. 0RGF0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGF0JZ an O.R. procedure?

Yes. 0RGF0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGF0JZ group to?

Depending on the principal diagnosis, 0RGF0JZ can group to MS-DRG 507 and MS-DRG 508.

What is the ICD-9 procedure code for 0RGF0JZ?

The CMS GEMs map 0RGF0JZ to ICD-9-CM 81.23 (Arthrodesis of shoulder).