XRGB4R7Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7

  • Billable / Specific Code
ICD-10-PCS XRGB4R7
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

XRGB4R7 is a billable ICD-10-PCS procedure code for Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7. 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
XRGB4R7
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
Parent Code
Short Description
Fusion Lum Jt w Cust Intbd Fus Dev, Perc Endo, New Tech 7

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
1SectionXNew Technology
2Body SystemRJoints
3OperationGFusion
4BodyPartBLumbar Vertebral Joint
5Approach4Percutaneous Endoscopic
6Device/Substance/TechnologyRInterbody Fusion Device, Custom-Made Anatomically Designed
7Qualifier7New Technology Group 7

Code History

Replaces previously assigned code(s):
  • 0SG04A0 — Fusion Lum Jt w Intbd Fus Dev, Ant Appr A Col, Perc Endo
  • 0SG04AJ — Fusion Lum Jt w Intbd Fus Dev, Post Appr A Col, Perc Endo

Similar Procedure Codes

Questions About XRGB4R7

Is XRGB4R7 a billable code?

Yes. XRGB4R7 is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in XRGB4R7 mean?

XRGB4R7 breaks down character by character: the 1st character X is the Section (New Technology); the 2nd character R is the Body System (Joints); the 3rd character G is the Operation (Fusion); the 4th character B is the BodyPart (Lumbar Vertebral Joint); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character R is the Device/Substance/Technology (Interbody Fusion Device, Custom-Made Anatomically Designed); the 7th character 7 is the Qualifier (New Technology Group 7).

What MS-DRG does XRGB4R7 group to?

On an inpatient stay, Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 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.