ICD-10-PCS 2027 procedure code
0RGL4JZFusion of Right Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
Short description: Fusion of R Elbow Jt with Synth 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 0RGL4JZ
0RGL4JZ is the ICD-10-PCS code for a fusion procedure on the right elbow joint using a percutaneous endoscopic approach with synthetic 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 0RGC4JZ (right temporomandibular joint), 0RGD4JZ (left temporomandibular joint), 0RGE4JZ (right sternoclavicular joint), 0RGF4JZ (left sternoclavicular joint), 0RGG4JZ (right acromioclavicular joint), 0RGH4JZ (left acromioclavicular joint) and 13 more.
The same procedure with a different approach is coded 0RGL0JZ (open) and 0RGL3JZ (percutaneous).
With a different device, use 0RGL43Z (internal fixation device, sustained compression), 0RGL44Z (internal fixation device), 0RGL45Z (external fixation device), 0RGL47Z (autologous tissue substitute) and 0RGL4KZ (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
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RGC4JZTemporomandibular Joint, Right
- 0RGD4JZTemporomandibular Joint, Left
- 0RGE4JZSternoclavicular Joint, Right
- 0RGF4JZSternoclavicular Joint, Left
- 0RGG4JZAcromioclavicular Joint, Right
- 0RGH4JZAcromioclavicular Joint, Left
- 0RGJ4JZShoulder Joint, Right
- 0RGK4JZShoulder Joint, Left
- 0RGM4JZElbow Joint, Left
- 0RGN4JZWrist Joint, Right
- 0RGP4JZWrist Joint, Left
- 0RGQ4JZCarpal 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 0RGL4JZ
Is 0RGL4JZ a valid ICD-10-PCS code for 2027?
- Yes. 0RGL4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGL4JZ an O.R. procedure?
- Yes. 0RGL4JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGL4JZ group to?
- Depending on the principal diagnosis, 0RGL4JZ 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 0RGL4JZ?
- The CMS GEMs map 0RGL4JZ to ICD-9-CM 81.24 (Arthrodesis of elbow).