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ICD 10 Code 0RGA4J1

Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
“Fusion T-lum Jt w Synth Sub, Post Appr P Col, Perc Endo” for short

0RGA4J1 is a valid billable ICD-10 procedure code for Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Fusion involves:
Joining together portions of an articular body part rendering the articular body part immobile. The body part is joined together by fixation device, bone graft, or other means

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Fusion includes:

  • Spinal fusion, ankle arthrodesis

Thoracolumbar Vertebral Joint body part includes:

  • Thoracolumbar facet joint

Synthetic Substitute device includes:

  • AbioCor(R) Total Replacement Heart
  • AMPLATZER(R) Muscular VSD Occluder
  • Annuloplasty ring
  • Bard(R) Composix(R) (E/X)(LP) mesh
  • Bard(R) Composix(R) Kugel(R) patch
  • Bard(R) Dulex(tm) mesh
  • Bard(R) Ventralex(tm) hernia patch
  • Barricaid(R) Annular Closure Device (ACD)
  • BRYAN(R) Cervical Disc System
  • Corvia IASD(R)
  • Ex-PRESS(tm) mini glaucoma shunt
  • Flexible Composite Mesh
  • GORE(R) DUALMESH(R)
  • Holter valve ventricular shunt
  • IASD(R) (InterAtrial Shunt Device), Corvia
  • InterAtrial Shunt Device IASD(R), Corvia
  • LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System
  • MitraClip valve repair system
  • Nitinol framed polymer mesh
  • Open Pivot (mechanical) valve
  • Open Pivot Aortic Valve Graft (AVG)
  • Partially absorbable mesh
  • PHYSIOMESH(tm) Flexible Composite Mesh
  • Polymethylmethacrylate (PMMA)
  • Polypropylene mesh
  • PRESTIGE(R) Cervical Disc
  • PROCEED(tm) Ventral Patch
  • Prodisc-C
  • Prodisc-L
  • PROLENE Polypropylene Hernia System (PHS)
  • Rebound HRD(R) (Hernia Repair Device)
  • SynCardia Total Artificial Heart
  • Total artificial (replacement) heart
  • ULTRAPRO Hernia System (UHS)
  • ULTRAPRO Partially Absorbable Lightweight Mesh
  • ULTRAPRO Plug
  • V-Wave Interatrial Shunt System
  • Ventrio(tm) Hernia Patch
  • Zimmer(R) NexGen(R) LPS Mobile Bearing Knee
  • Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Spinal Procedures
    • DRG 028 - SPINAL PROCEDURES WITH MCC
    • DRG 029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
    • DRG 030 - SPINAL PROCEDURES WITHOUT CC/MCC
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Combined Anterior/Posterior Spinal Fusion
    • DRG 453 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MCC
    • DRG 454 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH CC
    • DRG 455 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT CC/MCC
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
    • DRG 456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC
    • DRG 457 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH CC
    • DRG 458 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Spinal Fusion Except Cervical
    • DRG 459 - SPINAL FUSION EXCEPT CERVICAL WITH MCC
    • DRG 460 - SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 0RGA4J1 — See Table View

1: Section 0 Medical and Surgical
2: Body System R Upper Joints
3: Root Operation G Fusion
4: Body Part A Thoracolumbar Vertebral Joint
5: Approach 4 Percutaneous Endoscopic
6: Device J Synthetic Substitute
7: Qualifier 1 Posterior Approach, Posterior Column

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.