0RGA4A0Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0RGA4A0
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0RGA4A0 is a billable ICD-10-PCS procedure code for Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 19 MS-DRGs. The root operation Fusion involves joining together portions of an articular body part rendering the articular body part immobile.

Code Identity

ICD-10-PCS Code
0RGA4A0
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Parent Code
Short Description
Fusion T-lum Jt w Intbd Fus Dev, Ant Appr A Col, Perc Endo

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
4BodyPartAThoracolumbar Vertebral Joint
5Approach4Percutaneous Endoscopic
6DeviceAInterbody Fusion Device
7Qualifier0Anterior Approach, Anterior Column

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0RGA4A0 under the General Equivalence Mappings.

81.04
Approximate match; combination (more than one code may be needed).
84.51
Approximate match; combination (more than one code may be needed).

Code History

Replaced in the FY 2026 code set by:
  • XRGA4R7 — Fusion T-lum Jt w Cust Intbd Fus Dev, Perc Endo, New Tech 7

Similar Procedure Codes

Questions About 0RGA4A0

Is 0RGA4A0 a billable code?

Yes. 0RGA4A0 is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0RGA4A0 mean?

0RGA4A0 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 A is the BodyPart (Thoracolumbar Vertebral Joint); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character A is the Device (Interbody Fusion Device); the 7th character 0 is the Qualifier (Anterior Approach, Anterior Column).

What MS-DRG does 0RGA4A0 group to?

On an inpatient stay, Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach maps to MS-DRGs 028, 029, 030, 426, 427, 428, 447, 448, 450, 451, 456, 457, 458, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 11.0212. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0RGA4A0?

Under the General Equivalence Mappings, Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 81.04 and 84.51. The mapping is approximate, so confirm it fits the documentation.