ICD-10-PCS 2027 procedure code
0SGB4KZFusion of Left Hip Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Fusion of Left Hip Joint with Nonaut 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 0SGB4KZ
0SGB4KZ is the ICD-10-PCS code for a fusion procedure on the left hip 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 arthrodesis of hip, the ICD-9-CM procedure title it maps to (81.21).
For a different body part, codes include 0SG54KZ (sacrococcygeal joint), 0SG74KZ (right sacroiliac joint), 0SG84KZ (left sacroiliac joint), 0SG94KZ (right hip joint), 0SGC4KZ (right knee joint), 0SGD4KZ (left knee joint) and 10 more.
The same procedure with a different approach is coded 0SGB0KZ (open) and 0SGB3KZ (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 0SGB4JZ (synthetic 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
- 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
Different body part
- 0SG54KZSacrococcygeal Joint
- 0SG74KZSacroiliac Joint, Right
- 0SG84KZSacroiliac Joint, Left
- 0SG94KZHip Joint, Right
- 0SGC4KZKnee Joint, Right
- 0SGD4KZKnee Joint, Left
- 0SGF4KZAnkle Joint, Right
- 0SGG4KZAnkle Joint, Left
- 0SGH4KZTarsal Joint, Right
- 0SGJ4KZTarsal Joint, Left
- 0SGK4KZTarsometatarsal Joint, Right
- 0SGL4KZTarsometatarsal 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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hip and Femur Procedures Except Major Joint
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
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
- 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 0SGB4KZ
Is 0SGB4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0SGB4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SGB4KZ an O.R. procedure?
- Yes. 0SGB4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SGB4KZ group to?
- Depending on the principal diagnosis, 0SGB4KZ 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 0SGB4KZ?
- The CMS GEMs map 0SGB4KZ to ICD-9-CM 81.21 (Arthrodesis of hip).