0RG74AJFusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0RG74AJ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0RG74AJ is a billable ICD-10-PCS procedure code for Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 17 MS-DRGs. The root operation Fusion involves joining together portions of an articular body part rendering the articular body part immobile. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Spine fusion.

Code Identity

ICD-10-PCS Code
0RG74AJ
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short Description
Fusion 2-7 T Jt w Intbd Fus Dev, Post Appr A Col, Perc Endo
Parent Code

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemRUpper Joints
3OperationGFusion
4BodyPart7Thoracic Vertebral Joints, 2 to 7
5Approach4Percutaneous Endoscopic
6DeviceAInterbody Fusion Device
7QualifierJPosterior Approach, Anterior Column

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Fusion, Thoracic Vertebral, 2 to 7
Leads to this code's table
Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST013
Spine fusion
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

81.05
Dorsal and dorsolumbar fusion of the posterior column, posterior technique
Approximate match; combination (more than one code may be needed).
81.62
Fusion or refusion of 2-3 vertebrae
Approximate match; combination (more than one code may be needed).
81.63
Fusion or refusion of 4-8 vertebrae
Approximate match; combination (more than one code may be needed).
84.51
Insertion of interbody spinal fusion device
Approximate match; combination (more than one code may be needed).

Similar Procedure Codes

Questions About 0RG74AJ

Is 0RG74AJ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0RG74AJ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character R is the Body System (Upper Joints); the 3rd character G is the Operation (Fusion); the 4th character 7 is the BodyPart (Thoracic Vertebral Joints, 2 to 7); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character A is the Device (Interbody Fusion Device); the 7th character J is the Qualifier (Posterior Approach, Anterior Column).

What MS-DRG does 0RG74AJ group to?

On an inpatient stay, Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach maps to MS-DRGs 028, 029, 030, 426, 427, 428, 447, 448, 456, 457, 458, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 9.1607. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0RG74AJ?

Under the General Equivalence Mappings, Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 81.05 (Dorsal and dorsolumbar fusion of the posterior column, posterior technique), 81.62 (Fusion or refusion of 2-3 vertebrae), and 81.63 (Fusion or refusion of 4-8 vertebrae). The mapping is approximate, so confirm it fits the documentation.