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ICD-10-PCS 2027 procedure code

0SGN47ZFusion of Left Metatarsal-Phalangeal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion L Metatarsophal Jt w Autol Sub, Perc Endo

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 0SGN47Z

0SGN47Z is the ICD-10-PCS code for a fusion procedure on the left metatarsal-phalangeal 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 metatarsophalangeal fusion, the ICD-9-CM procedure title it maps to (81.16).

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 0SGN07Z (open) and 0SGN37Z (percutaneous).

With a different device, use 0SGN43Z (internal fixation device, sustained compression), 0SGN44Z (internal fixation device), 0SGN45Z (external fixation device), 0SGN4JZ (synthetic substitute) and 0SGN4KZ (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
NMetatarsal-Phalangeal Joint, Left

Includes: Metatarsophalangeal (MTP) 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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 81.16Metatarsophalangeal fusionapproximate

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 0SGN47Z

Is 0SGN47Z a valid ICD-10-PCS code for 2027?

Yes. 0SGN47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SGN47Z an O.R. procedure?

Yes. 0SGN47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SGN47Z group to?

Depending on the principal diagnosis, 0SGN47Z 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 0SGN47Z?

The CMS GEMs map 0SGN47Z to ICD-9-CM 81.16 (Metatarsophalangeal fusion).