ICD-10-PCS 2027 procedure code
0RGL37ZFusion of Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
Short description: Fusion of Right Elbow Joint with Autol Sub, Perc 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 0RGL37Z
0RGL37Z is the ICD-10-PCS code for a fusion procedure on the right elbow joint using a percutaneous 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 elbow, the ICD-9-CM procedure title it maps to (81.24).
For a different body part, codes include 0RGC37Z (right temporomandibular joint), 0RGD37Z (left temporomandibular joint), 0RGE37Z (right sternoclavicular joint), 0RGF37Z (left sternoclavicular joint), 0RGG37Z (right acromioclavicular joint), 0RGH37Z (left acromioclavicular joint) and 13 more.
The same procedure with a different approach is coded 0RGL07Z (open) and 0RGL47Z (percutaneous endoscopic).
With a different device, use 0RGL33Z (internal fixation device, sustained compression), 0RGL34Z (internal fixation device), 0RGL35Z (external fixation device), 0RGL3JZ (synthetic substitute) and 0RGL3KZ (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 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
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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
- 0RGC37ZTemporomandibular Joint, Right
- 0RGD37ZTemporomandibular Joint, Left
- 0RGE37ZSternoclavicular Joint, Right
- 0RGF37ZSternoclavicular Joint, Left
- 0RGG37ZAcromioclavicular Joint, Right
- 0RGH37ZAcromioclavicular Joint, Left
- 0RGJ37ZShoulder Joint, Right
- 0RGK37ZShoulder Joint, Left
- 0RGM37ZElbow Joint, Left
- 0RGN37ZWrist Joint, Right
- 0RGP37ZWrist Joint, Left
- 0RGQ37ZCarpal 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 0RGL37Z
Is 0RGL37Z a valid ICD-10-PCS code for 2027?
- Yes. 0RGL37Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGL37Z an O.R. procedure?
- Yes. 0RGL37Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGL37Z group to?
- Depending on the principal diagnosis, 0RGL37Z 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 0RGL37Z?
- The CMS GEMs map 0RGL37Z to ICD-9-CM 81.24 (Arthrodesis of elbow).