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Inpatient Procedure Code

XRGD0R7 ICD-10-PCS Code: Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7

Fusion Lumsac Jt w Cust Intbd Fus Dev, Open, New Tech 7

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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
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 PartD

Lumbosacral Joint

5
Approach0

Open

6
Device / Substance / TechnologyR

Interbody Fusion Device, Custom-Made Anatomically Designed

7
New Technology Group7

New Technology Group 7

Related Codes

Same operation — other Body Part

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

XRGA0R7 — Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7, XRGB0R7 — Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7, XRGC0R7 — Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7

Same operation — other Approach

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

XRGD3R7 — Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7, XRGD4R7 — Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7

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 XRGD0R7 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.

PCS table

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

Nearest codes

Change history (3)

Removed for FY2027 — not valid on or after October 1, 2026

Change history

Changed in FY2027, the release in force: Removed from the code set.

  • FY2027 — October 1, 2026
    Removed from the code set
    Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
    FY2027 changes
  • FY2024 — October 1, 2023
    Description revised
    Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7 → Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
    FY2024 changes
  • FY2022 — October 1, 2021
    Added to the code set
    Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7
    FY2022 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