ICD-10-PCS 2027 procedure code
0SGJ4JZFusion of Left Tarsal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
Short description: Fusion of L Tarsal Jt 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 0SGJ4JZ
0SGJ4JZ is the ICD-10-PCS code for a fusion procedure on the left tarsal 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 other fusion of foot, the ICD-9-CM procedure title it maps to (81.17).
For a different body part, codes include 0SG54JZ (sacrococcygeal joint), 0SG74JZ (right sacroiliac joint), 0SG84JZ (left sacroiliac joint), 0SG94JZ (right hip joint), 0SGB4JZ (left hip joint), 0SGC4JZ (right knee joint) and 10 more.
The same procedure with a different approach is coded 0SGJ0JZ (open) and 0SGJ3JZ (percutaneous).
With a different device, use 0SGJ43Z (internal fixation device, sustained compression), 0SGJ44Z (internal fixation device), 0SGJ45Z (external fixation device), 0SGJ47Z (autologous tissue substitute) and 0SGJ4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot Procedures 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 “Foot Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. 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
- JTarsal Joint, Left
Includes: Calcaneocuboid joint; Cuboideonavicular joint; Cuneonavicular joint; Intercuneiform joint; Subtalar (talocalcaneal) joint; Talocalcaneal (subtalar) joint; Talocalcaneonavicular 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
Different body part
- 0SG54JZSacrococcygeal Joint
- 0SG74JZSacroiliac Joint, Right
- 0SG84JZSacroiliac Joint, Left
- 0SG94JZHip Joint, Right
- 0SGB4JZHip Joint, Left
- 0SGC4JZKnee Joint, Right
- 0SGD4JZKnee Joint, Left
- 0SGF4JZAnkle Joint, Right
- 0SGG4JZAnkle Joint, Left
- 0SGH4JZTarsal Joint, Right
- 0SGK4JZTarsometatarsal Joint, Right
- 0SGL4JZTarsometatarsal 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 · Foot Procedures
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 →- 81.17Other fusion of footapproximate
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 0SGJ4JZ
Is 0SGJ4JZ a valid ICD-10-PCS code for 2027?
- Yes. 0SGJ4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SGJ4JZ an O.R. procedure?
- Yes. 0SGJ4JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SGJ4JZ group to?
- Depending on the principal diagnosis, 0SGJ4JZ can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0SGJ4JZ?
- The CMS GEMs map 0SGJ4JZ to ICD-9-CM 81.17 (Other fusion of foot).