ICD-10-PCS 2027 procedure code
0SG847ZFusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Fusion of L Sacroiliac Jt with Autol Sub, Perc Endo Approach
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 0SG847Z
0SG847Z is the ICD-10-PCS code for a fusion procedure on the left sacroiliac joint using a percutaneous endoscopic approach with autologous 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 lumbar and lumbosacral fusion of the anterior column, posterior technique, the ICD-9-CM procedure title it maps to (81.08).
For a different body part, codes include 0SG547Z (sacrococcygeal joint), 0SG747Z (right sacroiliac joint), 0SG947Z (right hip joint), 0SGB47Z (left hip joint), 0SGC47Z (right knee joint), 0SGD47Z (left knee joint) and 10 more.
The same procedure with a different approach is coded 0SG807Z (open) and 0SG837Z (percutaneous).
With a different device, use 0SG844Z (internal fixation device), 0SG84JZ (synthetic substitute) and 0SG84KZ (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 402 (Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical), DRG 426 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC) and DRG 427 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC), under the surgical categories “Spinal Procedures”, “Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical”, “Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical” and 5 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
- 8Sacroiliac Joint, Left
- 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
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SG547ZSacrococcygeal Joint
- 0SG747ZSacroiliac Joint, Right
- 0SG947ZHip Joint, Right
- 0SGB47ZHip Joint, Left
- 0SGC47ZKnee Joint, Right
- 0SGD47ZKnee Joint, Left
- 0SGF47ZAnkle Joint, Right
- 0SGG47ZAnkle Joint, Left
- 0SGH47ZTarsal Joint, Right
- 0SGJ47ZTarsal Joint, Left
- 0SGK47ZTarsometatarsal Joint, Right
- 0SGL47ZTarsometatarsal Joint, Left
Different approach
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 · Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
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
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection
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
ICD-9-CM equivalent
Converter →- 81.08Lumbar and lumbosacral fusion of the anterior column, posterior techniqueapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0SG847Z
Is 0SG847Z a valid ICD-10-PCS code for 2027?
- Yes. 0SG847Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SG847Z an O.R. procedure?
- Yes. 0SG847Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SG847Z group to?
- Depending on the principal diagnosis, 0SG847Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 402, MS-DRG 426 and MS-DRG 427.
What is the ICD-9 procedure code for 0SG847Z?
- The CMS GEMs map 0SG847Z to ICD-9-CM 81.08 (Lumbar and lumbosacral fusion of the anterior column, posterior technique).