ICD-10-PCS 2027 procedure code
0SGP45ZFusion of Right Toe Phalangeal Joint with External Fixation Device, Percutaneous Endoscopic Approach
Short description: Fusion of R Toe Phalanx Jt with Ext Fix, Perc Endo 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 0SGP45Z
0SGP45Z is the ICD-10-PCS code for a fusion procedure on the right toe phalangeal joint using a percutaneous endoscopic approach with external 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 other fusion of foot, the ICD-9-CM procedure title it maps to (81.17).
For a different body part, codes include 0SG945Z (right hip joint), 0SGB45Z (left hip joint), 0SGC45Z (right knee joint), 0SGD45Z (left knee joint), 0SGF45Z (right ankle joint), 0SGG45Z (left ankle joint) and 7 more.
The same procedure with a different approach is coded 0SGP05Z (open) and 0SGP35Z (percutaneous).
With a different device, use 0SGP43Z (internal fixation device, sustained compression), 0SGP44Z (internal fixation device), 0SGP47Z (autologous tissue substitute), 0SGP4JZ (synthetic substitute) and 0SGP4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC) and DRG 505 (Foot Procedures without CC/MCC), under the surgical category “Foot Procedures”.
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
- PToe Phalangeal 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SG945ZHip Joint, Right
- 0SGB45ZHip Joint, Left
- 0SGC45ZKnee Joint, Right
- 0SGD45ZKnee Joint, Left
- 0SGF45ZAnkle Joint, Right
- 0SGG45ZAnkle Joint, Left
- 0SGH45ZTarsal Joint, Right
- 0SGJ45ZTarsal Joint, Left
- 0SGK45ZTarsometatarsal Joint, Right
- 0SGL45ZTarsometatarsal Joint, Left
- 0SGM45ZMetatarsal-Phalangeal Joint, Right
- 0SGN45ZMetatarsal-Phalangeal 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 · Foot Procedures
ICD-9-CM equivalent
Converter →- 81.17Other fusion of footapproximate
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 0SGP45Z
Is 0SGP45Z a valid ICD-10-PCS code for 2027?
- Yes. 0SGP45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SGP45Z an O.R. procedure?
- Yes. 0SGP45Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SGP45Z group to?
- Depending on the principal diagnosis, 0SGP45Z can group to MS-DRG 503, MS-DRG 504 and MS-DRG 505.
What is the ICD-9 procedure code for 0SGP45Z?
- The CMS GEMs map 0SGP45Z to ICD-9-CM 81.17 (Other fusion of foot).