XRG Fusion - Joints ICD-10-PCS
The XRG code range contains 42 ICD-10-PCS codes for Fusion procedures on the joints. 41 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Fusion: Joining together portions of an articular body part rendering the articular body part immobile.
Codes in the XRG Range 42 codes · 41 billable
- XRG New Technology, Joints, FusionNon-billable header
- XRGA0EA Fusion of Thoracolumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 New
- XRGA0R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
- XRGA3R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
- XRGA4R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
- XRGB0EA Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 New
- XRGB0R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
- XRGB3R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
- XRGB4R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
- XRGC0EA Fusion of 2 or more Lumbar Vertebral Joints using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 New
- XRGC0R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
- XRGC3R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
- XRGC4R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
- XRGD0EA Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 New
- XRGD0R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
- XRGD3R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
- XRGD4R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
- XRGE058 Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
- XRGE358 Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8
- XRGF058 Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
- XRGF358 Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8
- XRGJ0B9 Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9
- XRGJ0CA Fusion of Right Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 New
- XRGK0B9 Fusion of Left Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9
- XRGK0CA Fusion of Left Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 New
- XRGL0B9 Fusion of Right Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9
- XRGL0CA Fusion of Right Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 New
- XRGM0B9 Fusion of Left Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9
- XRGM0CA Fusion of Left Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 New
- XRG10RB Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11 New
- XRG13RB Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11 New
- XRG14RB Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11 New
- XRG20RB Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11 New
- XRG23RB Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11 New
- XRG24RB Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11 New
- XRG40RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11 New
- XRG43RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11 New
- XRG44RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11 New
- XRGE0HB Fusion of Right Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11 New
- XRGE3HB Fusion of Right Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11 New
- XRGF0HB Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11 New
- XRGF3HB Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11 New
About the XRG Code Range
The ICD-10-PCS root operation Fusion (code XRG) in the New Technology section involves joining together bones or bone segments to immobilize a joint or eliminate motion. This procedure is commonly applied to various joints to stabilize them using specialized fusion devices.
Examples include fusion of the thoracolumbar vertebral joint with different devices such as paired titanium cages via an open approach (e.g., code XRGA0EA) or using a custom-made interbody fusion device through percutaneous and percutaneous endoscopic approaches (codes XRGA3R7 and XRGA4R7). Similar techniques apply to the lumbar vertebral joint, lumbosacral joint, and sacroiliac joints, with variations in fixation devices and approaches. The procedure also extends to smaller joints in the lower extremities like the ankle and tarsal joints, using advanced internal fixation devices such as the open-truss design or gyroid-sheet lattice design (codes XRGJ0B9, XRGK0CA, etc.). These codes reflect the technological innovations in joint fusion aimed at improving patient outcomes through minimally invasive and customized device options.
Questions About This Page
How many billable codes are in the XRG range?
Of the 42 codes in this range, 41 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.
What does the XRG range classify?
The range classifies Fusion procedures, joining together portions of an articular body part rendering the articular body part immobile, performed on the joints. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.
Related References
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
