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ICD-10-PCS 2027 procedure code

0RGL4KZFusion of Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of R Elbow 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 0RGL4KZ

0RGL4KZ is the ICD-10-PCS code for a fusion procedure on the right elbow 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 elbow, the ICD-9-CM procedure title it maps to (81.24).

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 0RGL0KZ (open) and 0RGL3KZ (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 0RGL4JZ (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
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 →
  • 81.24Arthrodesis of elbowapproximate

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 0RGL4KZ

Is 0RGL4KZ a valid ICD-10-PCS code for 2027?

Yes. 0RGL4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGL4KZ an O.R. procedure?

Yes. 0RGL4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGL4KZ group to?

Depending on the principal diagnosis, 0RGL4KZ 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 0RGL4KZ?

The CMS GEMs map 0RGL4KZ to ICD-9-CM 81.24 (Arthrodesis of elbow).