Deleted ICD-10-PCS Code XRGD4R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7

New Technology›Joints›Fusion
CMS Source: CMS ICD-10-PCS code files FY 2022–2026 and the ICD-10-PCS conversion table.
Do not report XRGD4R7 for inpatient discharges on or after October 1, 2026. Claims with a deleted code are rejected. Use one of the replacement codes below.

XRGD4R7 is a deleted ICD-10-PCS code, removed from the code set effective October 1, 2026. It was valid for fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 on inpatient discharges from October 1, 2021 through September 30, 2026, and later discharges must use a current code. The CMS conversion table maps it to 0SG34E0 and 0SG34EJ.

Replacement Codes for XRGD4R7

The CMS ICD-10-PCS conversion table maps XRGD4R7 to these codes. Confirm the choice against the procedure documentation and the code page's table.

  • 0SG34E0 Fusion of Lumbosacral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
  • 0SG34EJ Fusion of Lumbosacral Joint with Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach

Current Codes Starting With XRGD

Active FY 2027 codes that share the first 4 characters of XRGD4R7 (same table and body part).

  • XRGD0EA Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10

Code History

FY 2022AddedAdded to the ICD-10-PCS code setEffective October 1, 2021.
FY 2026Last fiscal year the code was validValid for discharges through September 30, 2026.
FY 2027DeletedRemoved from the ICD-10-PCS code setEffective October 1, 2026.

Questions About XRGD4R7

Is XRGD4R7 still a valid ICD-10-PCS code?

No. XRGD4R7 was deleted from ICD-10-PCS effective October 1, 2026, with the FY 2027 code set. It cannot be reported for inpatient discharges on or after that date.

What replaced XRGD4R7?

The CMS ICD-10-PCS conversion table maps XRGD4R7 to 0SG34E0 and 0SG34EJ. Pick the one that matches the procedure documentation; a conversion is a starting point, not an automatic substitution.

Can I still use XRGD4R7 for older discharges?

Yes, for inpatient discharges from October 1, 2021 through September 30, 2026. 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 XRGD4R7.