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ICD-10-PCS 2027 procedure code

0SGP4KZFusion of Right Toe Phalangeal Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion R Toe Phalanx 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 0SGP4KZ

0SGP4KZ is the ICD-10-PCS code for a fusion procedure on the right toe phalangeal 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 other fusion of foot, the ICD-9-CM procedure title it maps to (81.17).

For a different body part, codes include 0SG54KZ (sacrococcygeal joint), 0SG74KZ (right sacroiliac joint), 0SG84KZ (left sacroiliac joint), 0SG94KZ (right hip joint), 0SGB4KZ (left hip joint), 0SGC4KZ (right knee joint) and 10 more.

The same procedure with a different approach is coded 0SGP0KZ (open) and 0SGP3KZ (percutaneous).

With a different device, use 0SGP43Z (internal fixation device, sustained compression), 0SGP44Z (internal fixation device), 0SGP45Z (external fixation device), 0SGP47Z (autologous tissue substitute) and 0SGP4JZ (synthetic 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
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

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

  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 0SGP4KZ

Is 0SGP4KZ a valid ICD-10-PCS code for 2027?

Yes. 0SGP4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SGP4KZ an O.R. procedure?

Yes. 0SGP4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SGP4KZ group to?

Depending on the principal diagnosis, 0SGP4KZ can group to MS-DRG 503, MS-DRG 504 and MS-DRG 505.

What is the ICD-9 procedure code for 0SGP4KZ?

The CMS GEMs map 0SGP4KZ to ICD-9-CM 81.17 (Other fusion of foot).