0SG04A0Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0SG04A0
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0SG04A0 is a billable ICD-10-PCS procedure code for Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, 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 20 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
0SG04A0
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
Short Description
Fusion Lum Jt w Intbd Fus Dev, Ant 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 SystemSLower Joints
3OperationGFusion
4BodyPart0Lumbar Vertebral Joint
5Approach4Percutaneous Endoscopic
6DeviceAInterbody Fusion Device
7Qualifier0Anterior Approach, Anterior Column

In the ICD-10-PCS Alphabetic Index

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

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Fusion, Lumbar Vertebral
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To code fusion of the lumbar vertebral, open the FY 2027 ICD-10-PCS Alphabetic Index at Fusion, then the subterm Lumbar Vertebral. The index leads to table 0SG, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0SG04A0.

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.

81.06
Lumbar and lumbosacral fusion of the anterior column, anterior technique
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).

Code History

Replaced in the FY 2027 code set by:
  • XRGB4R7 — Fusion Lum Jt w Cust Intbd Fus Dev, Perc Endo, New Tech 7

Similar Procedure Codes

Questions About 0SG04A0

Is 0SG04A0 a billable code?

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

What do the characters in 0SG04A0 mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character S is the Body System (Lower Joints); the 3rd character G is the Operation (Fusion); the 4th character 0 is the BodyPart (Lumbar 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 0SG04A0 group to?

On an inpatient stay, Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach maps to MS-DRGs 028, 029, 030, 402, 426, 427, 428, 447, 448, 450, 451, 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 0SG04A0?

Under the General Equivalence Mappings, Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 81.06 (Lumbar and lumbosacral fusion of the anterior column, anterior technique) and 84.51 (Insertion of interbody spinal fusion device). The mapping is approximate, so confirm it fits the documentation.