ICD-10-PCS 2027 procedure code
0RGL03ZFusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Open Approach
Short description: Fusion R Elbow Jt w Int Fix Sustn Comprs, Open
Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RGL03Z
0RGL03Z is the ICD-10-PCS code for a fusion procedure on the right elbow joint using an open approach with internal fixation device, sustained compression. In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.
For a different body part, codes include 0RGM03Z (left elbow joint), 0RGN03Z (right wrist joint), 0RGP03Z (left wrist joint), 0RGQ03Z (right carpal joint), 0RGR03Z (left carpal joint), 0RGS03Z (right carpometacarpal joint) and 5 more.
The same procedure with a different approach is coded 0RGL33Z (percutaneous) and 0RGL43Z (percutaneous endoscopic).
With a different device, use 0RGL04Z (internal fixation device), 0RGL05Z (external fixation device), 0RGL07Z (autologous tissue substitute), 0RGL0JZ (synthetic substitute) and 0RGL0KZ (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), DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
It was added in FY2021, effective October 1, 2020.
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
- LElbow Joint, Right
- 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
- 3Internal Fixation Device, Sustained Compression
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RGM03ZElbow Joint, Left
- 0RGN03ZWrist Joint, Right
- 0RGP03ZWrist Joint, Left
- 0RGQ03ZCarpal Joint, Right
- 0RGR03ZCarpal Joint, Left
- 0RGS03ZCarpometacarpal Joint, Right
- 0RGT03ZCarpometacarpal Joint, Left
- 0RGU03ZMetacarpophalangeal Joint, Right
- 0RGV03ZMetacarpophalangeal Joint, Left
- 0RGW03ZFinger Phalangeal Joint, Right
- 0RGX03ZFinger Phalangeal Joint, Left
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
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
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2021 (effective 10/1/2020): Added
- No changes since FY2021.
Common questions about 0RGL03Z
Is 0RGL03Z a valid ICD-10-PCS code for 2027?
- Yes. 0RGL03Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGL03Z an O.R. procedure?
- Yes. 0RGL03Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGL03Z group to?
- Depending on the principal diagnosis, 0RGL03Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.