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ICD 10 Code XRGF058

Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
“Fusion L Sacroiliac Jt w Tulp-Connect Fix, Open, New Tech 8” for short

XRGF058 is a valid billable ICD-10 procedure code for Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8. 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.

Open approach involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

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 XRGF058 — See Table View

1: Section X New Technology
2: Body System R Joints
3: Root Operation G Fusion
4: Body Part F Sacroiliac Joint, Left
5: Approach 0 Open
6: Device 5 Internal Fixation Device with Tulip Connector
7: Qualifier 8 New Technology Group 8

See also

  • The ICD-10-PCS Index of common procedure terms.
  • New Technology 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.