2024 ICD-10-CM Procedure Code XRGJ0B9

Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9

ICD-10-PCS Code:: XRGJ0B9
ICD-10-PCS Code for:: Fusion R Ankle Jt w Opn-trus Int Fix, Open, New Tech 9
Is Billable?: Yes - Valid for Submission
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XRGJ0B9 is a billable procedure code used to specify the performance of fusion of right ankle joint using open-truss design internal fixation device, open approach, new technology group 9. The code is valid for the year 2024 for the submission of HIPAA-covered transactions.

Table of Contents

Code Information
PCS Table
Replacement Code
Diagnostic Related Groups Mapping

XRGJ0B9 PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the new technology section and is part of the joints body system, classified under fusion operation. The applicable bodypart for this procedure code is ankle joint, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	X	New Technology
2	Body System	R	Joints
3	Operation	G	Fusion	Involves: Joining together portions of an articular body part rendering the articular body part immobile
4	BodyPart	J	Ankle Joint, Right
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device/Substance/Technology	B	Internal Fixation Device, Open-truss Design
7	Qualifier	9	New Technology Group 9

New 2024 ICD-10-PCS Code

XRGJ0B9 is new to ICD-10-PCS code set for the FY 2024, effective October 1, 2022.

Replacement Code

XRGJ0B9 replaces the following previously assigned ICD-10-PCS code(s):

0SGF04Z - Fusion of Right Ankle Joint with Int Fix, Open Approach
0SGF04Z - Fusion of Right Ankle Joint with Int Fix, Open Approach
0SGF04Z - Fusion of Right Ankle Joint with Int Fix, Open Approach
0SGF04Z - Fusion of Right Ankle Joint with Int Fix, Open Approach
0SGF04Z - Fusion of Right Ankle Joint with Int Fix, Open Approach

XRGJ0B9 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code XRGJ0B9 is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	08	3.4621
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	08	2.4017
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	08	1.8692
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	10	4.0145
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	10	2.2628
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	10	1.3963
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	21	3.7195
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	21	2.0041
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	21	1.3563
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	24	7.2325
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	24	4.0448
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	24	2.5324

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2024 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2023 through September 30, 2024.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.