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Inpatient Procedure Code

0RGA071 ICD-10-PCS Code: Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Fusion T-lum Jt w Autol Sub, Post Appr P Col, Open

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemR

Upper Joints

3
Root OperationG

Fusion

Joining together portions of an articular body part rendering the articular body part immobile

4
Body PartA

Thoracolumbar Vertebral Joint

5
Approach0

Open

6
Device7

Autologous Tissue Substitute

7
Qualifier1

Posterior Approach, Posterior Column

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 20 MS-DRGs:

  • MDC 01 — Spinal Procedures: DRG 028, DRG 029, DRG 030
  • MDC 08 — Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical: DRG 402
  • MDC 08 — Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical: DRG 426, DRG 427, DRG 428
  • MDC 08 — Multiple Level Spinal Fusion Except Cervical: DRG 447, DRG 448
  • MDC 08 — Single Level Spinal Fusion Except Cervical: DRG 450, DRG 451
  • MDC 08 — Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions: DRG 456, DRG 457, DRG 458
  • MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
  • MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0RG0071 — Fusion of Occipital-cervical Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0RG1071 — Fusion of Cervical Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0RG2071 — Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0RG4071 — Fusion of Cervicothoracic Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0RG6071 — Fusion of Thoracic Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0RG7071 — Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0RG8071 — Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0RGA371 — Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach, 0RGA471 — Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

0RGA0J1 — Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach, 0RGA0K1 — Fusion of Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0RGA070 — Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach, 0RGA07J — Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Spine fusion (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0RH004Z — Insertion of Internal Fixation Device into Occipital-cervical Joint, Open Approach, 0RH00BZ — Insertion of Interspinous Process Spinal Stabilization Device into Occipital-cervical Joint, Open Approach, 0RH00CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Open Approach, 0RH00DZ — Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach, 0RH034Z — Insertion of Internal Fixation Device into Occipital-cervical Joint, Percutaneous Approach, 0RH03BZ — Insertion of Interspinous Process Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach, 0RH03CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach, 0RH03DZ — Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach, 0RH044Z — Insertion of Internal Fixation Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RH04BZ — Insertion of Interspinous Process Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RH04CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RH04DZ — Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RH104Z — Insertion of Internal Fixation Device into Cervical Vertebral Joint, Open Approach, 0RH10BZ — Insertion of Interspinous Process Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, 0RH10CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, 0RH10DZ — Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, 0RH134Z — Insertion of Internal Fixation Device into Cervical Vertebral Joint, Percutaneous Approach, 0RH13BZ — Insertion of Interspinous Process Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, 0RH13CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, 0RH13DZ — Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, +375 more

Contextual Map

Every relationship of 0RGA071 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run 0RGA071 with these 5 related codes in Claim Check

PCS table

MS-DRG participation (20)

Clinical classification (CCSR)

  • MST013 — Spine fusion[CCSR category]: “Spine fusion — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (27977)

  • MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
  • A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • and 27972 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels