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ICD-10-PCS 2027 procedure code

0SGB4JZFusion of Left Hip Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of Left Hip Joint with Synth 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 0SGB4JZ

0SGB4JZ is the ICD-10-PCS code for a fusion procedure on the left hip joint using a percutaneous endoscopic approach with synthetic 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 arthrodesis of hip, the ICD-9-CM procedure title it maps to (81.21).

For a different body part, codes include 0SG54JZ (sacrococcygeal joint), 0SG74JZ (right sacroiliac joint), 0SG84JZ (left sacroiliac joint), 0SG94JZ (right hip joint), 0SGC4JZ (right knee joint), 0SGD4JZ (left knee joint) and 10 more.

The same procedure with a different approach is coded 0SGB0JZ (open) and 0SGB3JZ (percutaneous).

With a different device, use 0SGB43Z (internal fixation device, sustained compression), 0SGB44Z (internal fixation device), 0SGB45Z (external fixation device), 0SGB47Z (autologous tissue substitute) and 0SGB4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 480 (Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 481 (Hip and Femur Procedures Except Major Joint with CC), DRG 482 (Hip and Femur Procedures Except Major Joint without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Hip and Femur Procedures Except Major Joint”, “Other O.R. Procedures for Injuries” and “Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma”.

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
BHip Joint, Left

Includes: Acetabulofemoral 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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 81.21Arthrodesis of hipapproximate

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 0SGB4JZ

Is 0SGB4JZ a valid ICD-10-PCS code for 2027?

Yes. 0SGB4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SGB4JZ an O.R. procedure?

Yes. 0SGB4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SGB4JZ group to?

Depending on the principal diagnosis, 0SGB4JZ can group to MS-DRG 480, MS-DRG 481, MS-DRG 482, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SGB4JZ?

The CMS GEMs map 0SGB4JZ to ICD-9-CM 81.21 (Arthrodesis of hip).