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ICD-10-PCS 2027 procedure code

XRG23RBFusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11

✓ Valid for 2027O.R. procedure

Short description: Fusion 2-6 C Jt w Cust Intbd Fus Dev, Perc, New Tech 11

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XRG23RB

XRG23RB is the ICD-10-PCS code for a fusion procedure on the cervical vertebral joints, 2 or more using a percutaneous approach with interbody fusion device, custom-made anatomically designed (qualifier: new technology group 11). In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

For a different body part, codes include XRG13RB (cervical vertebral joint) and XRG43RB (cervicothoracic vertebral joint).

The same procedure with a different approach is coded XRG20RB (open) and XRG24RB (percutaneous endoscopic).

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 429 (Combined Anterior and Posterior Cervical Spinal Fusion with MCC), DRG 430 (Combined Anterior and Posterior Cervical Spinal Fusion without MCC) and DRG 471 (Cervical Spinal Fusion with MCC), under the surgical categories “Spinal Procedures”, “Combined Anterior and Posterior Cervical Spinal Fusion”, “Cervical Spinal Fusion” and 2 more.

It was added in FY2026, effective October 1, 2025.

What each character means

1. Section
XNew Technology
2. Body System
RJoints
3. Operation
GFusion

Joining together portions of an articular body part rendering the articular body part immobile

4. Body Part
2Cervical Vertebral Joints, 2 or more
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device / Substance / Technology
RInterbody Fusion Device, Custom-Made Anatomically Designed
7. Qualifier
BNew Technology Group 11

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 · Combined Anterior and Posterior Cervical Spinal Fusion

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Cervical Spinal Fusion

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about XRG23RB

Is XRG23RB a valid ICD-10-PCS code for 2027?

Yes. XRG23RB is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XRG23RB an O.R. procedure?

Yes. XRG23RB is an O.R. procedure in MS-DRG v44.0.

What DRG does XRG23RB group to?

Depending on the principal diagnosis, XRG23RB can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 429, MS-DRG 430 and MS-DRG 471.