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ICD-10-PCS 2027 procedure code

0SG54KZFusion of Sacrococcygeal Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion Sacrococcygeal Jt w Nonaut Sub, Perc Endo

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0SG54KZ

0SG54KZ is the ICD-10-PCS code for a fusion procedure on the sacrococcygeal joint using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

In plain terms, this corresponds to spinal fusion, not otherwise specified, the ICD-9-CM procedure title it maps to (81.00).

For a different body part, codes include 0SG74KZ (right sacroiliac joint), 0SG84KZ (left sacroiliac joint), 0SG94KZ (right hip joint), 0SGB4KZ (left hip joint), 0SGC4KZ (right knee joint), 0SGD4KZ (left knee joint) and 10 more.

The same procedure with a different approach is coded 0SG50KZ (open) and 0SG53KZ (percutaneous).

With a different device, use 0SG544Z (internal fixation device), 0SG547Z (autologous tissue substitute) and 0SG54JZ (synthetic 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 447 (Multiple Level Spinal Fusion Except Cervical with MCC), DRG 448 (Multiple Level Spinal Fusion Except Cervical without MCC) and DRG 450 (Single Level Spinal Fusion Except Cervical with MCC), under the surgical categories “Spinal Procedures”, “Multiple Level Spinal Fusion Except Cervical”, “Single Level Spinal Fusion Except Cervical” and 3 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

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
5Sacrococcygeal Joint

Includes: Sacrococcygeal symphysis

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple Level Spinal Fusion Except Cervical

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Single Level Spinal Fusion Except Cervical

ICD-9-CM equivalent

Converter →
  • 81.00Spinal fusion, not otherwise specifiedapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0SG54KZ

Is 0SG54KZ a valid ICD-10-PCS code for 2027?

Yes. 0SG54KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SG54KZ an O.R. procedure?

Yes. 0SG54KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SG54KZ group to?

Depending on the principal diagnosis, 0SG54KZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 447, MS-DRG 448 and MS-DRG 450.

What is the ICD-9 procedure code for 0SG54KZ?

The CMS GEMs map 0SG54KZ to ICD-9-CM 81.00 (Spinal fusion, not otherwise specified).