Deleted ICD-10-PCS Code XRG4092 Fusion of Cervicothoracic Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2

New Technology›Joints›Fusion
  • Deleted — Not Valid for Claims
  • Valid FY 2020–2022
  • Deleted in FY 2023
CMS Source: CMS ICD-10-PCS code files FY 2020–2022 and the ICD-10-PCS conversion table.
Do not report XRG4092 for inpatient discharges on or after October 1, 2022. Claims with a deleted code are rejected. Use one of the replacement codes below.

XRG4092 is a deleted ICD-10-PCS code, removed from the code set effective October 1, 2022. It was valid for fusion of Cervicothoracic Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 on inpatient discharges from October 1, 2019 through September 30, 2022, and later discharges must use a current code. The CMS conversion table maps it to 0RG40A0 and 0RG40AJ.

Replacement Codes for XRG4092

The CMS ICD-10-PCS conversion table maps XRG4092 to these codes. Confirm the choice against the procedure documentation and the code page's table.

  • 0RG40A0 Fusion of Cervicothoracic Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
  • 0RG40AJ Fusion of Cervicothoracic Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach

Current Codes Starting With XRG4

Active FY 2027 codes that share the first 4 characters of XRG4092 (same table and body part).

  • XRG40RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
  • XRG43RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
  • XRG44RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11

Code History

FY 2020AddedAdded to the ICD-10-PCS code setEffective October 1, 2019.
FY 2022Last fiscal year the code was validValid for discharges through September 30, 2022.
FY 2023DeletedRemoved from the ICD-10-PCS code setEffective October 1, 2022.

Questions About XRG4092

Is XRG4092 still a valid ICD-10-PCS code?

No. XRG4092 was deleted from ICD-10-PCS effective October 1, 2022, with the FY 2023 code set. It cannot be reported for inpatient discharges on or after that date.

What replaced XRG4092?

The CMS ICD-10-PCS conversion table maps XRG4092 to 0RG40A0 and 0RG40AJ. Pick the one that matches the procedure documentation; a conversion is a starting point, not an automatic substitution.

Can I still use XRG4092 for older discharges?

Yes, for inpatient discharges from October 1, 2019 through September 30, 2022. ICD-10-PCS codes are assigned by the code set in effect on the date of discharge, so a corrected or late claim for a discharge in that window still uses XRG4092.