ICD-10-PCS 2027 procedure code
0SG50JZFusion of Sacrococcygeal Joint with Synthetic Substitute, Open Approach
Short description: Fusion of Sacrococcygeal Joint with Synth 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 0SG50JZ
0SG50JZ is the ICD-10-PCS code for a fusion procedure on the sacrococcygeal joint using an open 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 spinal fusion, not otherwise specified, the ICD-9-CM procedure title it maps to (81.00).
For a different body part, codes include 0SG70JZ (right sacroiliac joint), 0SG80JZ (left sacroiliac joint), 0SG90JZ (right hip joint), 0SGB0JZ (left hip joint), 0SGC0JZ (right knee joint), 0SGD0JZ (left knee joint) and 10 more.
The same procedure with a different approach is coded 0SG53JZ (percutaneous) and 0SG54JZ (percutaneous endoscopic).
With a different device, use 0SG504Z (internal fixation device), 0SG507Z (autologous tissue substitute) and 0SG50KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 447 (Multiple Level Spinal Fusion Except Cervical with MCC), DRG 448 (Multiple Level Spinal Fusion Except Cervical without MCC) and DRG 450 (Single Level Spinal Fusion Except Cervical with MCC), under the surgical categories “Spinal Procedures”, “Multiple Level Spinal Fusion Except Cervical”, “Single Level Spinal Fusion Except Cervical” and 3 more.
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
- SLower 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
- 5Sacrococcygeal Joint
Includes: Sacrococcygeal symphysis
- 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
- 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
- 0SG70JZSacroiliac Joint, Right
- 0SG80JZSacroiliac Joint, Left
- 0SG90JZHip Joint, Right
- 0SGB0JZHip Joint, Left
- 0SGC0JZKnee Joint, Right
- 0SGD0JZKnee Joint, Left
- 0SGF0JZAnkle Joint, Right
- 0SGG0JZAnkle Joint, Left
- 0SGH0JZTarsal Joint, Right
- 0SGJ0JZTarsal Joint, Left
- 0SGK0JZTarsometatarsal Joint, Right
- 0SGL0JZTarsometatarsal 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 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple Level Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Single Level Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection
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 →- 81.00Spinal fusion, not otherwise specifiedapproximate
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 0SG50JZ
Is 0SG50JZ a valid ICD-10-PCS code for 2027?
- Yes. 0SG50JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SG50JZ an O.R. procedure?
- Yes. 0SG50JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SG50JZ group to?
- Depending on the principal diagnosis, 0SG50JZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 447, MS-DRG 448 and MS-DRG 450.
What is the ICD-9 procedure code for 0SG50JZ?
- The CMS GEMs map 0SG50JZ to ICD-9-CM 81.00 (Spinal fusion, not otherwise specified).