ICD-10-PCS 2027 procedure code
0SG90JZFusion of Right Hip Joint with Synthetic Substitute, Open Approach
Short description: Fusion of Right Hip 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 0SG90JZ
0SG90JZ is the ICD-10-PCS code for a fusion procedure on the right hip 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 arthrodesis of hip, the ICD-9-CM procedure title it maps to (81.21).
For a different body part, codes include 0SG50JZ (sacrococcygeal joint), 0SG70JZ (right sacroiliac joint), 0SG80JZ (left sacroiliac 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 0SG93JZ (percutaneous) and 0SG94JZ (percutaneous endoscopic).
With a different device, use 0SG903Z (internal fixation device, sustained compression), 0SG904Z (internal fixation device), 0SG905Z (external fixation device), 0SG907Z (autologous tissue substitute) and 0SG90KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 480 (Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 481 (Hip and Femur Procedures Except Major Joint with CC), DRG 482 (Hip and Femur Procedures Except Major Joint without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Hip and Femur Procedures Except Major Joint”, “Other O.R. Procedures for Injuries” and “Limb Reattachment, Hip and Femur 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
- 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
- 9Hip 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
- 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
- 0SG50JZSacrococcygeal Joint
- 0SG70JZSacroiliac Joint, Right
- 0SG80JZSacroiliac Joint, Left
- 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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hip and Femur Procedures Except Major Joint
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 81.21Arthrodesis of hipapproximate
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 0SG90JZ
Is 0SG90JZ a valid ICD-10-PCS code for 2027?
- Yes. 0SG90JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SG90JZ an O.R. procedure?
- Yes. 0SG90JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SG90JZ group to?
- Depending on the principal diagnosis, 0SG90JZ can group to MS-DRG 480, MS-DRG 481, MS-DRG 482, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0SG90JZ?
- The CMS GEMs map 0SG90JZ to ICD-9-CM 81.21 (Arthrodesis of hip).