0SG00K1 ICD-10-PCS Code: Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
Fusion Lum Jt w Nonaut 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemS | Lower Joints |
| 3 | Root OperationG | Fusion Joining together portions of an articular body part rendering the articular body part immobile |
| 4 | Body Part0 | Lumbar Vertebral Joint |
| 5 | Approach0 | Open |
| 6 | DeviceK | Nonautologous Tissue Substitute |
| 7 | Qualifier1 | Posterior Approach, Posterior Column |
MS-DRG Grouper Relationships (FY2027)
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, or Infection: 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.
0SG10K1 — Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0SG30K1 — Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0SG03K1 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach, 0SG04K1 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0SG0071 — Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0SG00J1 — Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0SG00K0 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach, 0SG00KJ — Fusion of Lumbar Vertebral Joint with Nonautologous 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.
0RW6X4Z — Revision of Internal Fixation Device in Thoracic Vertebral Joint, External Approach, 0RW6XAZ — Revision of Interbody Fusion Device in Thoracic Vertebral Joint, External Approach, 0RWA04Z — Revision of Internal Fixation Device in Thoracolumbar Vertebral Joint, Open Approach, 0RWA0AZ — Revision of Interbody Fusion Device in Thoracolumbar Vertebral Joint, Open Approach, 0RWA34Z — Revision of Internal Fixation Device in Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RWA3AZ — Revision of Interbody Fusion Device in Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RWA44Z — Revision of Internal Fixation Device in Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RWA4AZ — Revision of Interbody Fusion Device in Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RWAX4Z — Revision of Internal Fixation Device in Thoracolumbar Vertebral Joint, External Approach, 0RWAXAZ — Revision of Interbody Fusion Device in Thoracolumbar Vertebral Joint, External Approach, 0SH004Z — Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Open Approach, 0SH00BZ — Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, 0SH00CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, 0SH00DZ — Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, 0SH034Z — Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Approach, 0SH03BZ — Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, 0SH03CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, 0SH03DZ — Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, 0SH044Z — Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0SH04BZ — Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, +540 more
Contextual Map
Every relationship of 0SG00K1 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 0SG00K1 with these 5 related codes in Claim Check
PCS table
- 0SG[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Joints — Body System: Lower Joints[Body System]: “Lower Joints”— CMS ICD-10-PCS tables
- Fusion — Operation: Fusion[Operation]: “Fusion”— CMS ICD-10-PCS tables
MS-DRG participation (20)
- DRG 028 — SPINAL PROCEDURES WITH MCC[MS-DRG]: “SPINAL PROCEDURES WITH MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 029 — SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS[MS-DRG]: “SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 030 — SPINAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SPINAL PROCEDURES WITHOUT CC/MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 402 — SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL[MS-DRG]: “SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL — Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 426 — MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC[MS-DRG]: “MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC — Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 427 — MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC[MS-DRG]: “MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC — Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 428 — MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC[MS-DRG]: “MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC — Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 447 — MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC[MS-DRG]: “MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC — Multiple Level Spinal Fusion Except Cervical (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 12 more
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 (27999)
- 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 · FY2027
- 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 · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 27994 more
Nearest codes
- 0SG0071 — Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG00J1 — Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG00K0 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG00KJ — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG03K1 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG04K1 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG10K1 — Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SG30K1 — Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources