XRGF058Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8

New Technology›Joints›Fusion
  • Billable / Specific Code
ICD-10-PCS XRGF058
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

XRGF058 is a billable ICD-10-PCS procedure code for Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8. 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Joint fusion (excluding spine).

Code Identity

ICD-10-PCS Code
XRGF058
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
Short Description
Fusion L Sacroiliac Jt w Tulp-Connect Fix, Open, New Tech 8
Parent Code
XRG

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
4BodyPartFSacroiliac Joint, Left
5Approach0Open
6Device/Substance/Technology5Internal Fixation Device with Tulip Connector
7Qualifier8New Technology Group 8

In the ICD-10-PCS Alphabetic Index

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

Fusion, Sacroiliac, Internal Fixation Device with Tulip Connector
Leads to this code's table
Internal Fixation Device with Tulip Connector, Fusion, Joint, Sacroiliac
Leads to this code's table
New Technology, Fusion, Sacroiliac, Internal Fixation Device with Tulip Connector
Leads to this code's table
Fusion, Sacroiliac, Internal Fixation Device, Bone-Density-Specific Thread and Porosity Pattern
Leads to this code's table
Internal Fixation Device, Bone-Density-Specific Thread and Porosity Pattern, Fusion, Joint, Sacroiliac
Leads to this code's table
New Technology, Fusion, Sacroiliac, Internal Fixation Device, Bone-Density-Specific Thread and Porosity Pattern
Leads to this code's table

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST014
Joint fusion (excluding spine)
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Code History

Replaces previously assigned code(s):
  • 0SG804Z — Fusion of Left Sacroiliac Joint with Int Fix, Open Approach

Similar Procedure Codes

Questions About XRGF058

Is XRGF058 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8 on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in XRGF058 mean?

The code 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 F is the BodyPart (Sacroiliac Joint, Left); the 5th character 0 is the Approach (Open); the 6th character 5 is the Device/Substance/Technology (Internal Fixation Device with Tulip Connector); the 7th character 8 is the Qualifier (New Technology Group 8).

What MS-DRG does XRGF058 group to?

On an inpatient stay, Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8 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.