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ICD-10-PCS 2027 procedure code

0RGK4KZFusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of L Shoulder Jt with Nonaut 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 0RGK4KZ

0RGK4KZ is the ICD-10-PCS code for a fusion procedure on the left shoulder joint using a percutaneous endoscopic approach with nonautologous 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 0RGC4KZ (right temporomandibular joint), 0RGD4KZ (left temporomandibular joint), 0RGE4KZ (right sternoclavicular joint), 0RGF4KZ (left sternoclavicular joint), 0RGG4KZ (right acromioclavicular joint), 0RGH4KZ (left acromioclavicular joint) and 13 more.

The same procedure with a different approach is coded 0RGK0KZ (open) and 0RGK3KZ (percutaneous).

With a different device, use 0RGK44Z (internal fixation device), 0RGK47Z (autologous tissue substitute) and 0RGK4JZ (synthetic 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
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
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 0RGK4KZ

Is 0RGK4KZ a valid ICD-10-PCS code for 2027?

Yes. 0RGK4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGK4KZ an O.R. procedure?

Yes. 0RGK4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGK4KZ group to?

Depending on the principal diagnosis, 0RGK4KZ can group to MS-DRG 507 and MS-DRG 508.

What is the ICD-9 procedure code for 0RGK4KZ?

The CMS GEMs map 0RGK4KZ to ICD-9-CM 81.23 (Arthrodesis of shoulder).