0SG33EJFusion of Lumbosacral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Posterior Approach, Anterior Column, Percutaneous Approach

0SG33EJ is the ICD-10-PCS code for a fusion procedure on the lumbosacral joint using a percutaneous approach with interbody fusion device, custom-made anatomically and virtually designed (qualifier: posterior approach, anterior column). 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 0SG03EJ (lumbar vertebral joint) and 0SG13EJ (lumbar vertebral joints, 2 or more).

The same procedure with a different approach is coded 0SG30EJ (open) and 0SG34EJ (percutaneous endoscopic).

With a different device, use 0SG337J (autologous tissue substitute), 0SG33AJ (interbody fusion device), 0SG33JJ (synthetic substitute) and 0SG33KJ (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.