ICD-10-PCS 2027 procedure code
0RGL0KZFusion of Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach
Short description: Fusion of Right Elbow Joint with Nonaut 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 0RGL0KZ
0RGL0KZ is the ICD-10-PCS code for a fusion procedure on the right elbow joint using an open 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 elbow, the ICD-9-CM procedure title it maps to (81.24).
For a different body part, codes include 0RGC0KZ (right temporomandibular joint), 0RGD0KZ (left temporomandibular joint), 0RGE0KZ (right sternoclavicular joint), 0RGF0KZ (left sternoclavicular joint), 0RGG0KZ (right acromioclavicular joint), 0RGH0KZ (left acromioclavicular joint) and 13 more.
The same procedure with a different approach is coded 0RGL3KZ (percutaneous) and 0RGL4KZ (percutaneous endoscopic).
With a different device, use 0RGL03Z (internal fixation device, sustained compression), 0RGL04Z (internal fixation device), 0RGL05Z (external fixation device), 0RGL07Z (autologous tissue substitute) and 0RGL0JZ (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), 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 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
- 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
- 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
Different body part
- 0RGC0KZTemporomandibular Joint, Right
- 0RGD0KZTemporomandibular Joint, Left
- 0RGE0KZSternoclavicular Joint, Right
- 0RGF0KZSternoclavicular Joint, Left
- 0RGG0KZAcromioclavicular Joint, Right
- 0RGH0KZAcromioclavicular Joint, Left
- 0RGJ0KZShoulder Joint, Right
- 0RGK0KZShoulder Joint, Left
- 0RGM0KZElbow Joint, Left
- 0RGN0KZWrist Joint, Right
- 0RGP0KZWrist Joint, Left
- 0RGQ0KZCarpal 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
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
ICD-9-CM equivalent
Converter →- 81.24Arthrodesis of elbowapproximate
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 0RGL0KZ
Is 0RGL0KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RGL0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGL0KZ an O.R. procedure?
- Yes. 0RGL0KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGL0KZ group to?
- Depending on the principal diagnosis, 0RGL0KZ can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.
What is the ICD-9 procedure code for 0RGL0KZ?
- The CMS GEMs map 0RGL0KZ to ICD-9-CM 81.24 (Arthrodesis of elbow).