2025 ICD-10-CM Procedure Code XRGM0CA

Fusion of Left Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10

ICD-10-PCS Code:: XRGM0CA
ICD-10-PCS Code for:: Fusion L Tarsal Jt w Gyr-sheet Int Fx, Open, New Tech 10
Is Billable?: Yes - Valid for Submission
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XRGM0CA is a billable procedure code used to specify the performance of fusion of left tarsal joint using gyroid-sheet lattice design internal fixation device, open approach, new technology group 10. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves joining together portions of an articular body part rendering the articular body part immobile.

Table of Contents

Code Information
PCS Table
Replacement Code
Diagnostic Related Groups Mapping
Other Similar Codes

XRGM0CA 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 tarsal joint, left.

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	M	Tarsal Joint, Left
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	C	Internal Fixation Device, Gyroid-Sheet Lattice Design
7	Qualifier	A	New Technology Group 10

New 2025 ICD-10-PCS Code

XRGM0CA is new to ICD-10-PCS code set for the FY 2025, effective October 1, 2022.

Replacement Code

XRGM0CA replaces the following previously assigned ICD-10-PCS code(s):

0SGJ04Z - Fusion of Left Tarsal Joint with Int Fix, Open Approach
0SGJ04Z - Fusion of Left Tarsal Joint with Int Fix, Open Approach
0SGJ04Z - Fusion of Left Tarsal Joint with Int Fix, Open Approach
0SGJ04Z - Fusion of Left Tarsal Joint with Int Fix, Open Approach
0SGJ04Z - Fusion of Left Tarsal Joint with Int Fix, Open Approach
0SGJ04Z - Fusion of Left Tarsal Joint with Int Fix, Open Approach

XRGM0CA 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 XRGM0CA is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
503	Foot Procedures with MCC	08
504	Foot Procedures with CC	08
505	Foot Procedures without CC/MCC	08
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Other ICD-10-PCS Codes Used for Fusion Tarsal Joint, Left

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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 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.