ICD-10-PCS 2027 procedure code
0SG74KZFusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Fusion R Sacroiliac Jt w Nonaut Sub, Perc Endo
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 0SG74KZ
0SG74KZ is the ICD-10-PCS code for a fusion procedure on the right sacroiliac 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 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 0SG54KZ (sacrococcygeal joint), 0SG84KZ (left sacroiliac joint), 0SG94KZ (right hip joint), 0SGB4KZ (left hip joint), 0SGC4KZ (right knee joint), 0SGD4KZ (left knee joint) and 10 more.
The same procedure with a different approach is coded 0SG70KZ (open) and 0SG73KZ (percutaneous).
With a different device, use 0SG744Z (internal fixation device), 0SG747Z (autologous tissue substitute) and 0SG74JZ (synthetic 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
- 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
Different body part
- 0SG54KZSacrococcygeal Joint
- 0SG84KZSacroiliac Joint, Left
- 0SG94KZHip Joint, Right
- 0SGB4KZHip Joint, Left
- 0SGC4KZKnee Joint, Right
- 0SGD4KZKnee Joint, Left
- 0SGF4KZAnkle Joint, Right
- 0SGG4KZAnkle Joint, Left
- 0SGH4KZTarsal Joint, Right
- 0SGJ4KZTarsal Joint, Left
- 0SGK4KZTarsometatarsal Joint, Right
- 0SGL4KZTarsometatarsal 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 · Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple 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
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 →- 81.08Lumbar and lumbosacral fusion of the anterior column, posterior techniqueapproximate
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 0SG74KZ
Is 0SG74KZ a valid ICD-10-PCS code for 2027?
- Yes. 0SG74KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SG74KZ an O.R. procedure?
- Yes. 0SG74KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SG74KZ group to?
- Depending on the principal diagnosis, 0SG74KZ 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 0SG74KZ?
- The CMS GEMs map 0SG74KZ to ICD-9-CM 81.08 (Lumbar and lumbosacral fusion of the anterior column, posterior technique).