ICD-10-PCS 2027 procedure code
0RGK47ZFusion of Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Fusion of L Shoulder Jt with Autol Sub, Perc Endo 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 0RGK47Z
0RGK47Z is the ICD-10-PCS code for a fusion procedure on the left shoulder joint using a percutaneous endoscopic approach with autologous tissue 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 0RGC47Z (right temporomandibular joint), 0RGD47Z (left temporomandibular joint), 0RGE47Z (right sternoclavicular joint), 0RGF47Z (left sternoclavicular joint), 0RGG47Z (right acromioclavicular joint), 0RGH47Z (left acromioclavicular joint) and 13 more.
The same procedure with a different approach is coded 0RGK07Z (open) and 0RGK37Z (percutaneous).
With a different device, use 0RGK44Z (internal fixation device), 0RGK4JZ (synthetic substitute) and 0RGK4KZ (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
- KShoulder Joint, Left
Includes: Glenohumeral joint; Glenoid ligament (labrum)
- 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
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RGC47ZTemporomandibular Joint, Right
- 0RGD47ZTemporomandibular Joint, Left
- 0RGE47ZSternoclavicular Joint, Right
- 0RGF47ZSternoclavicular Joint, Left
- 0RGG47ZAcromioclavicular Joint, Right
- 0RGH47ZAcromioclavicular Joint, Left
- 0RGJ47ZShoulder Joint, Right
- 0RGL47ZElbow Joint, Right
- 0RGM47ZElbow Joint, Left
- 0RGN47ZWrist Joint, Right
- 0RGP47ZWrist Joint, Left
- 0RGQ47ZCarpal 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 0RGK47Z
Is 0RGK47Z a valid ICD-10-PCS code for 2027?
- Yes. 0RGK47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGK47Z an O.R. procedure?
- Yes. 0RGK47Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGK47Z group to?
- Depending on the principal diagnosis, 0RGK47Z can group to MS-DRG 507 and MS-DRG 508.
What is the ICD-9 procedure code for 0RGK47Z?
- The CMS GEMs map 0RGK47Z to ICD-9-CM 81.23 (Arthrodesis of shoulder).