ICD-10-PCS 2027 procedure code
XRGK0CAFusion of Left Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10
Short description: Fusion L Ankle Jt w Gyr-sheet Int Fx, Open, New Tech 10
Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About XRGK0CA
XRGK0CA is the ICD-10-PCS code for a fusion procedure on the left ankle joint using an open approach with internal fixation device, gyroid-sheet lattice design (qualifier: new technology group 10). 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 XRGJ0CA (right ankle joint), XRGL0CA (right tarsal joint) and XRGM0CA (left tarsal joint).
It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.
It was added in FY2025, effective October 1, 2024.
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
- KAnkle Joint, Left
- 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
- CInternal Fixation Device, Gyroid-Sheet Lattice Design
- 7. Qualifier
- ANew Technology Group 10
Other versions of this procedure
Different body part
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 · Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
- 492Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void FillerRW 3.6914
- 493Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CCRW 2.5528
- 494Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCCRW 2.0257
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
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
- FY2025 (effective 10/1/2024): Added
- No changes since FY2025.
Common questions about XRGK0CA
Is XRGK0CA a valid ICD-10-PCS code for 2027?
- Yes. XRGK0CA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is XRGK0CA an O.R. procedure?
- Yes. XRGK0CA is an O.R. procedure in MS-DRG v44.0.
What DRG does XRGK0CA group to?
- Depending on the principal diagnosis, XRGK0CA can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 628, MS-DRG 629 and MS-DRG 630.