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ICD-10-PCS 2027 procedure code

XRGF358Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8

✓ Valid for 2027O.R. procedure

Short description: Fusion L Sacroiliac Jt w Tulp-Connect Fix, Perc, New Tech 8

Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XRGF358

XRGF358 is the ICD-10-PCS code for a fusion procedure on the left sacroiliac joint using a percutaneous approach with internal fixation device with tulip connector (qualifier: new technology group 8). 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 XRGE358 (right sacroiliac joint).

The same procedure with a different approach is coded XRGF058 (open).

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 523 (Extensive or Complex Spinal Fusion Procedures Except Cervical with MCC), DRG 524 (Extensive or Complex Spinal Fusion Procedures Except Cervical with CC) and DRG 525 (Extensive or Complex Spinal Fusion Procedures Except Cervical without CC/MCC), under the surgical categories “Spinal Procedures”, “Extensive or Complex Spinal Fusion Procedures Except Cervical”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2023, effective October 1, 2022.

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
FSacroiliac Joint, Left
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
5Internal Fixation Device with Tulip Connector
7. Qualifier
8New Technology Group 8

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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
  • FY2023 (effective 10/1/2022): Added
  • No changes since FY2023.

Common questions about XRGF358

Is XRGF358 a valid ICD-10-PCS code for 2027?

Yes. XRGF358 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XRGF358 an O.R. procedure?

Yes. XRGF358 is an O.R. procedure in MS-DRG v44.0.

What DRG does XRGF358 group to?

Depending on the principal diagnosis, XRGF358 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 523, MS-DRG 524 and MS-DRG 525.