XRG40RB ICD-10-PCS Code: Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
Fusion C-thr Jt w Cust Intbd Fus Dev, Open, New Tech 11
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 | SectionX | New Technology |
| 2 | Body SystemR | Joints |
| 3 | Root OperationG | Fusion Joining together portions of an articular body part rendering the articular body part immobile |
| 4 | Body Part4 | Cervicothoracic Vertebral Joint |
| 5 | Approach0 | Open |
| 6 | Device / Substance / TechnologyR | Interbody Fusion Device, Custom-Made Anatomically Designed |
| 7 | New Technology GroupB | New Technology Group 11 |
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 14 MS-DRGs:
- MDC 01 — Spinal Procedures: DRG 028, DRG 029, DRG 030
- MDC 08 — Combined Anterior and Posterior Cervical Spinal Fusion: DRG 429, DRG 430
- MDC 08 — Cervical Spinal Fusion: DRG 471, DRG 472, DRG 473
- 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.
XRG10RB — Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11, XRG20RB — Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
Same operation — other Approach
Same table and root operation, differing only in the approach character.
XRG43RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11, XRG44RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
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.
0SW0X4Z — Revision of Internal Fixation Device in Lumbar Vertebral Joint, External Approach, 0SW0XAZ — Revision of Interbody Fusion Device in Lumbar Vertebral Joint, External Approach, 0SW304Z — Revision of Internal Fixation Device in Lumbosacral Joint, Open Approach, 0SW30AZ — Revision of Interbody Fusion Device in Lumbosacral Joint, Open Approach, 0SW334Z — Revision of Internal Fixation Device in Lumbosacral Joint, Percutaneous Approach, 0SW33AZ — Revision of Interbody Fusion Device in Lumbosacral Joint, Percutaneous Approach, 0SW344Z — Revision of Internal Fixation Device in Lumbosacral Joint, Percutaneous Endoscopic Approach, 0SW34AZ — Revision of Interbody Fusion Device in Lumbosacral Joint, Percutaneous Endoscopic Approach, 0SW3X4Z — Revision of Internal Fixation Device in Lumbosacral Joint, External Approach, 0SW3XAZ — Revision of Interbody Fusion Device in Lumbosacral Joint, External Approach, XRH10GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, New Technology Group 11, XRH13GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, New Technology Group 11, XRH14GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11, XRH20GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 11, XRH23GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Approach, New Technology Group 11, XRH24GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 11, XRH40GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 11, XRH43GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach, New Technology Group 11, XRH44GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11, XRH60FA — Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 10, +614 more
Contextual Map
Every relationship of XRG40RB 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 XRG40RB with these 5 related codes in Claim Check
PCS table
- XRG[PCS table]— CMS ICD-10-PCS tables
- New Technology — Section: New Technology[Section]: “New Technology”— CMS ICD-10-PCS tables
- Joints — Body System: Joints[Body System]: “Joints”— CMS ICD-10-PCS tables
- Fusion — Operation: Fusion[Operation]: “Fusion”— CMS ICD-10-PCS tables
MS-DRG participation (14)
- 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 429 — COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC[MS-DRG]: “COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — Combined Anterior and Posterior Cervical Spinal Fusion (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 430 — COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC[MS-DRG]: “COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — Combined Anterior and Posterior Cervical Spinal Fusion (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 471 — CERVICAL SPINAL FUSION WITH MCC[MS-DRG]: “CERVICAL SPINAL FUSION WITH MCC — Cervical Spinal Fusion (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 472 — CERVICAL SPINAL FUSION WITH CC[MS-DRG]: “CERVICAL SPINAL FUSION WITH CC — Cervical Spinal Fusion (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 473 — CERVICAL SPINAL FUSION WITHOUT CC/MCC[MS-DRG]: “CERVICAL SPINAL FUSION WITHOUT CC/MCC — Cervical Spinal Fusion (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 6 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
- XRG10RB — Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRG20RB — Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRG43RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRG44RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2026 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2026oct
Change history
- FY2026 — October 1, 2025Added to the code setFusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11FY2026 changes
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