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ICD-10-PCS 2027 procedure code

0SG704ZFusion of Right Sacroiliac Joint with Internal Fixation Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of Right Sacroiliac Joint with Int Fix, 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 0SG704Z

0SG704Z is the ICD-10-PCS code for a fusion procedure on the right sacroiliac joint using an open approach with internal fixation device. 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 lumbar and lumbosacral fusion of the anterior column, posterior technique, the ICD-9-CM procedure title it maps to (81.08).

For a different body part, codes include 0SG504Z (sacrococcygeal joint), 0SG804Z (left sacroiliac joint), 0SG904Z (right hip joint), 0SGB04Z (left hip joint), 0SGC04Z (right knee joint), 0SGD04Z (left knee joint) and 10 more.

The same procedure with a different approach is coded 0SG734Z (percutaneous) and 0SG744Z (percutaneous endoscopic).

With a different device, use 0SG707Z (autologous tissue substitute), 0SG70JZ (synthetic substitute) and 0SG70KZ (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 402 (Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical), DRG 426 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC) and DRG 427 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC), under the surgical categories “Spinal Procedures”, “Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical”, “Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical” and 5 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
7Sacroiliac Joint, Right
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
4Internal Fixation Device
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 · Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical

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

ICD-9-CM equivalent

Converter →
  • 81.08Lumbar and lumbosacral fusion of the anterior column, posterior techniqueapproximate

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 0SG704Z

Is 0SG704Z a valid ICD-10-PCS code for 2027?

Yes. 0SG704Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SG704Z an O.R. procedure?

Yes. 0SG704Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SG704Z group to?

Depending on the principal diagnosis, 0SG704Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 402, MS-DRG 426 and MS-DRG 427.

What is the ICD-9 procedure code for 0SG704Z?

The CMS GEMs map 0SG704Z to ICD-9-CM 81.08 (Lumbar and lumbosacral fusion of the anterior column, posterior technique).