ICD-10-PCS 2027 procedure code
0SG537ZFusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Percutaneous Approach
Short description: Fusion of Sacrococcygeal 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 0SG537Z
0SG537Z is the ICD-10-PCS code for a fusion procedure on the sacrococcygeal 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 spinal fusion, not otherwise specified, the ICD-9-CM procedure title it maps to (81.00).
For a different body part, codes include 0SG737Z (right sacroiliac joint), 0SG837Z (left sacroiliac joint), 0SG937Z (right hip joint), 0SGB37Z (left hip joint), 0SGC37Z (right knee joint), 0SGD37Z (left knee joint) and 10 more.
The same procedure with a different approach is coded 0SG507Z (open) and 0SG547Z (percutaneous endoscopic).
With a different device, use 0SG534Z (internal fixation device), 0SG53JZ (synthetic substitute) and 0SG53KZ (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
- 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
- 0SG737ZSacroiliac Joint, Right
- 0SG837ZSacroiliac Joint, Left
- 0SG937ZHip Joint, Right
- 0SGB37ZHip Joint, Left
- 0SGC37ZKnee Joint, Right
- 0SGD37ZKnee Joint, Left
- 0SGF37ZAnkle Joint, Right
- 0SGG37ZAnkle Joint, Left
- 0SGH37ZTarsal Joint, Right
- 0SGJ37ZTarsal Joint, Left
- 0SGK37ZTarsometatarsal Joint, Right
- 0SGL37ZTarsometatarsal 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 0SG537Z
Is 0SG537Z a valid ICD-10-PCS code for 2027?
- Yes. 0SG537Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SG537Z an O.R. procedure?
- Yes. 0SG537Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SG537Z group to?
- Depending on the principal diagnosis, 0SG537Z 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 0SG537Z?
- The CMS GEMs map 0SG537Z to ICD-9-CM 81.00 (Spinal fusion, not otherwise specified).