ICD-10-PCS 2027 procedure code
XRG40RBFusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
Short description: Fusion C-thr Jt w Cust Intbd Fus Dev, Open, 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 XRG40RB
XRG40RB is the ICD-10-PCS code for a fusion procedure on the cervicothoracic vertebral joint using an open 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 XRG10RB (cervical vertebral joint) and XRG20RB (cervical vertebral joints, 2 or more).
The same procedure with a different approach is coded XRG43RB (percutaneous) and XRG44RB (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
- 4Cervicothoracic Vertebral Joint
- 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 / Substance / Technology
- RInterbody Fusion Device, Custom-Made Anatomically Designed
- 7. Qualifier
- BNew Technology Group 11
Other versions of this procedure
Different body part
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 · Combined Anterior and Posterior Cervical Spinal Fusion
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Cervical Spinal Fusion
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
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2026 (effective 10/1/2025): Added
- No changes since FY2026.
Common questions about XRG40RB
Is XRG40RB a valid ICD-10-PCS code for 2027?
- Yes. XRG40RB is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is XRG40RB an O.R. procedure?
- Yes. XRG40RB is an O.R. procedure in MS-DRG v44.0.
What DRG does XRG40RB group to?
- Depending on the principal diagnosis, XRG40RB can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 429, MS-DRG 430 and MS-DRG 471.