ICD-10-PCS 2027 procedure code
0RGA0E0Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior Approach, Anterior Column, Open Approach
Short description: Fusion T-lum Jt w IFD Cust Dsin, Ant Appr A Col, Open
Code last changed in FY2027 (effective October 1, 2026). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RGA0E0
0RGA0E0 is the ICD-10-PCS code for a fusion procedure on the thoracolumbar vertebral joint using an open approach with interbody fusion device, custom-made anatomically and virtually designed (qualifier: anterior approach, anterior column). In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.
The same procedure with a different approach is coded 0RGA3E0 (percutaneous) and 0RGA4E0 (percutaneous endoscopic).
With a different device, use 0RGA070 (autologous tissue substitute), 0RGA0A0 (interbody fusion device), 0RGA0J0 (synthetic substitute) and 0RGA0K0 (nonautologous tissue substitute).
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 FY2027, effective October 1, 2026.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- RUpper 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
- AThoracolumbar Vertebral Joint
Includes: Thoracolumbar facet 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
- EInterbody Fusion Device, Custom-Made Anatomically and Virtually Designed
- 7. Qualifier
- 0Anterior Approach, Anterior Column
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 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Extensive or Complex Spinal Fusion Procedures Except Cervical
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
- FY2027 (effective 10/1/2026): Added
Common questions about 0RGA0E0
Is 0RGA0E0 a valid ICD-10-PCS code for 2027?
- Yes. 0RGA0E0 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGA0E0 an O.R. procedure?
- Yes. 0RGA0E0 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGA0E0 group to?
- Depending on the principal diagnosis, 0RGA0E0 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 523, MS-DRG 524 and MS-DRG 525.