XRG Fusion - Joints ICD-10-PCS
The XRG code range contains 30 ICD-10-PCS codes for Fusion procedures on the joints. 29 of the codes are billable and valid for inpatient claim submission in fiscal year 2027.
Root Operation Definition
Fusion: Joining together portions of an articular body part rendering the articular body part immobile.
Codes in the XRG Range 30 codes · 29 billable
- XRG New Technology, Joints, FusionNon-billable header
- XRG10RB Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
- XRG13RB Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
- XRG14RB Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
- XRG20RB Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
- XRG23RB Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
- XRG24RB Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
- XRG40RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
- XRG43RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
- XRG44RB Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
- XRGA0EA Fusion of Thoracolumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
- XRGB0EA Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
- XRGC0EA Fusion of 2 or more Lumbar Vertebral Joints using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
- XRGD0EA Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
- XRGE058 Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
- XRGE0HB Fusion of Right Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11
- XRGE358 Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8
- XRGE3HB Fusion of Right Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11
- XRGF058 Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
- XRGF0HB Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11
- XRGF358 Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8
- XRGF3HB Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11
- 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
- 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
- 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
- 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
About the XRG Code Range
These procedures join portions of a joint so the joint no longer moves. They include fusion of vertebral, sacroiliac, ankle and tarsal joints.
The fourth character identifies the joint. It distinguishes right from left for sacroiliac, ankle and tarsal joints, and a single joint from multiple cervical or lumbar vertebral joints. The fifth character records an open approach, entry through a puncture or small incision, or that entry with a scope. The sixth identifies the device or its design, such as paired titanium cages or an open-truss design. The seventh identifies the New Technology Group qualifier.
FY 2027 changes: The FY 2027 ICD-10-PCS update, effective October 1, 2026, deleted XRGA0R7, XRGA3R7, XRGA4R7, XRGB0R7, XRGB3R7, XRGB4R7, XRGC0R7, XRGC3R7, XRGC4R7, XRGD0R7, XRGD3R7 and XRGD4R7.
Questions About This Page
How many billable codes are in the XRG range?
Of the 30 codes in this range, 29 are billable and valid for inpatient claim submission from October 1, 2026 through September 30, 2027. 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 2027 ICD-10-PCS order file and code tables, effective October 1, 2026 through September 30, 2027.