ICD-10-PCS 2027 procedure code
0SG34EJFusion of Lumbosacral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short description: Fusion Lumsac Jt w IFD Cust Dsin, Post Appr A Col, Perc Endo
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 0SG34EJ
0SG34EJ is the ICD-10-PCS code for a fusion procedure on the lumbosacral joint using a percutaneous endoscopic 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 0SG04EJ (lumbar vertebral joint) and 0SG14EJ (lumbar vertebral joints, 2 or more).
The same procedure with a different approach is coded 0SG30EJ (open) and 0SG33EJ (percutaneous).
With a different device, use 0SG347J (autologous tissue substitute), 0SG34AJ (interbody fusion device), 0SG34JJ (synthetic substitute) and 0SG34KJ (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
- SLower 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
- 3Lumbosacral Joint
Includes: Lumbosacral facet joint
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- EInterbody Fusion Device, Custom-Made Anatomically and Virtually Designed
- 7. Qualifier
- JPosterior Approach, Anterior Column
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
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 0SG34EJ
Is 0SG34EJ a valid ICD-10-PCS code for 2027?
- Yes. 0SG34EJ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SG34EJ an O.R. procedure?
- Yes. 0SG34EJ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SG34EJ group to?
- Depending on the principal diagnosis, 0SG34EJ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 523, MS-DRG 524 and MS-DRG 525.