0RGA4E0Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach

Medical and Surgical›Upper Joints›Fusion
ICD-10-PCS 0RGA4E0
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0RGA4E0 is a billable ICD-10-PCS procedure code for Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior 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 12 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
0RGA4E0
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short Description
Fusion T-lum Jt w IFD Cust Dsin, Ant Appr A Col, Perc Endo
Parent Code
0RG

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
6DeviceEInterbody Fusion Device, Custom-Made Anatomically and Virtually Designed
7Qualifier0Anterior Approach, Anterior Column

In the ICD-10-PCS Alphabetic Index

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

Thoracolumbar facet joint
Anatomy or device term that leads here
Fusion, Thoracolumbar Vertebral
Leads to this code's table

To code fusion of the thoracolumbar vertebral, open the FY 2027 ICD-10-PCS Alphabetic Index at Fusion, then the subterm Thoracolumbar Vertebral. The index leads to table 0RG, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0RGA4E0.

Browse the full ICD-10-PCS Alphabetic Index →

Code History

FY 2027New code, effective October 1, 2026.
Replaces previously assigned code(s):
  • XRGA4R7 — Fusion T-lum Jt w Cust Intbd Fus Dev, Perc Endo, New Tech 7

Similar Procedure Codes

Questions About 0RGA4E0

Is 0RGA4E0 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0RGA4E0 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 A is the BodyPart (Thoracolumbar Vertebral Joint); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character E is the Device (Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed); the 7th character 0 is the Qualifier (Anterior Approach, Anterior Column).

What MS-DRG does 0RGA4E0 group to?

On an inpatient stay, Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach maps to MS-DRGs 028, 029, 030, 523, 524, 525, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 13.7383. The MS-DRG sets the fixed Medicare payment for the stay.