ICD-10-PCS 2027 procedure code
0SGK47ZFusion of Right Tarsometatarsal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Fusion R Tarsometatars Jt w Autol Sub, Perc Endo
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0SGK47Z
0SGK47Z is the ICD-10-PCS code for a fusion procedure on the right tarsometatarsal 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 tarsometatarsal fusion, the ICD-9-CM procedure title it maps to (81.15).
For a different body part, codes include 0SG547Z (sacrococcygeal joint), 0SG747Z (right sacroiliac joint), 0SG847Z (left sacroiliac joint), 0SG947Z (right hip joint), 0SGB47Z (left hip joint), 0SGC47Z (right knee joint) and 10 more.
The same procedure with a different approach is coded 0SGK07Z (open) and 0SGK37Z (percutaneous).
With a different device, use 0SGK43Z (internal fixation device, sustained compression), 0SGK44Z (internal fixation device), 0SGK45Z (external fixation device), 0SGK4JZ (synthetic substitute) and 0SGK4KZ (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
- KTarsometatarsal Joint, Right
- 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
- 0SG847ZSacroiliac Joint, Left
- 0SG947ZHip Joint, Right
- 0SGB47ZHip Joint, Left
- 0SGC47ZKnee Joint, Right
- 0SGD47ZKnee Joint, Left
- 0SGF47ZAnkle Joint, Right
- 0SGG47ZAnkle Joint, Left
- 0SGH47ZTarsal Joint, Right
- 0SGJ47ZTarsal Joint, Left
- 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 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 →- 81.15Tarsometatarsal fusionapproximate
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)
- FY2018 (effective 10/1/2017): Title revised — was “Fusion of Right Metatarsal-Tarsal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach”
Common questions about 0SGK47Z
Is 0SGK47Z a valid ICD-10-PCS code for 2027?
- Yes. 0SGK47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SGK47Z an O.R. procedure?
- Yes. 0SGK47Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SGK47Z group to?
- Depending on the principal diagnosis, 0SGK47Z 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 0SGK47Z?
- The CMS GEMs map 0SGK47Z to ICD-9-CM 81.15 (Tarsometatarsal fusion).