ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RG7 includes procedures performed to fuse articular joint surfaces in the thoracic vertebral joints, levels two through seven. These ICD-10-PCS codes are used for inpatient documentation when a surgeon performs fusion to render the thoracic vertebral joints immobile for stabilization or pain control. Accurate coding within the ICD-10-PCS 0RG7 group is essential for proper inpatient reimbursement, as it captures the specific fusion procedure performed and supports clinical documentation accuracy.

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Thoracic Vertebral Joints, 2 To 7 Fusion Procedure Overview

Procedures in this group involve fusion of thoracic vertebral joints, specifically levels two through seven, and target the upper joints of the spine. Fusion renders the specified articular body parts immobile by joining together portions of the joint surfaces. These inpatient procedures are captured in the International Classification of Diseases, Tenth Revision, Procedure Coding System for accurate documentation. Precise coding supports correct case mix assignment and appropriate inpatient reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
G	Operation	Fusion
7	Body Part	Thoracic Vertebral Joints, 2 to 7

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ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: Procedure Code Group Overview

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Thoracic Vertebral Joints, 2 To 7 Fusion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
G	Operation	Fusion
7	Body Part	Thoracic Vertebral Joints, 2 to 7

When to Use

Use a code from this group when an inpatient procedure involves surgically fusing thoracic vertebral joints two through seven to achieve immobility. These codes apply when the operative intent is permanent or long-term stabilization of the specified thoracic joint levels.

ICD-10-PCS Codes

33 rows

ICD-10-PCS Code	Description
0RG7070	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG7071	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG707J	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70A0	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG70AJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG70J0	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG70J1	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG70JJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70K0	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG70K1	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Showing 1–10 of 33

DRG Codes

17 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
426	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
427	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC
428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/MCC
447	Multiple Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
448	Multiple Level Spinal Fusion Except Cervical without MCC
456	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
457	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC

Showing 1–10 of 17

Typical Clinical Scenarios

An elderly patient with multilevel thoracic spine degenerative disease (severe facet arthropathy and segmental instability at T2–T5) presents with progressive myelopathic symptoms and axial thoracic pain refractory to conservative management. The surgical team performs a planned open posterior fusion of the affected thoracic articular joints to permanently stabilize the segments and decompress neural elements as indicated. An autologous bone graft harvested from the patient is used to promote arthrodesis via a posterior open approach targeting the posterior column joints. Typical codes: 0RG7071
A middle-aged patient arrives emergently after a high-energy motor vehicle collision with radiographic evidence of unstable fractures involving the T3–T6 thoracic vertebral joints and progressive neurologic deficit. Urgent surgical stabilization is undertaken to render the damaged thoracic joint segments immobile and protect the spinal cord. The procedure involves open anterior column fusion using an interbody fusion device placed via an anterior open approach to restore stability across the injured thoracic levels. Typical codes: 0RG70A0
A patient with prior thoracic spine surgery has a failed fusion with persistent motion and hardware-associated pain across T2–T4, requiring revision. The revision procedure is performed percutaneously using a synthetic bone graft substitute to achieve fusion of the affected thoracic articular joints while minimizing soft tissue disruption. A percutaneous posterior-column fusion approach is used to reestablish immobility of the involved thoracic segments. Typical codes: 0RG73J1

Related Codes

0RG0-OCCIPITAL-CERVICAL-FUSION

ICD-10-PCS Code For Occipital-Cervical Joint: Procedure Code Group Overview

0RG1-CERVICAL-VERTEBRAL-JOINT-FUSION

ICD-10-PCS Code For Cervical Vertebral Joint: Procedure Code Group Overview

0RG2-CERVICAL-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Cervical Vertebral Joints: Procedure Code Group Overview

0RG4-CERVICOTHORACIC-VERTEBRAL-FUSION

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview

0RG6-THORACIC-VERTEBRAL-JOINT-FUSION

ICD-10-PCS Code For Thoracic Vertebral Joint: Procedure Code Group Overview

0RG8-THORACIC-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Thoracic Vertebral Joints: Procedure Code Group Overview

0RGA-THORACOLUMBAR-FUSION

ICD-10-PCS Code For Thoracolumbar Vertebral Joint: Procedure Code Group Overview

0RGC-TEMPOROMANDIBULAR-JOINT-FUSION

ICD-10-PCS Code For Temporomandibular Joint, Right: Procedure Code Group Overview

0RGD-LEFT-TEMPOROMANDIBULAR-JOINT-FUSION

ICD-10-PCS Code For Temporomandibular Joint, Left: Procedure Code Group Overview

0RGE-STERNOCLAVICULAR-JOINT-FUSION

ICD-10-PCS Code For Sternoclavicular Joint Right: Procedure Code Group Overview

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

33 rows

ICD-10-PCS Code	Description
0RG7070	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG7071	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG707J	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70A0	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG70AJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG70J0	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG70J1	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG70JJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70K0	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG70K1	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Showing 1–10 of 33

DRG Codes

17 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
426	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
427	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC
428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/MCC
447	Multiple Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
448	Multiple Level Spinal Fusion Except Cervical without MCC
456	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
457	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC

Showing 1–10 of 17

Typical Clinical Scenarios

An elderly patient with multilevel thoracic spine degenerative disease (severe facet arthropathy and segmental instability at T2–T5) presents with progressive myelopathic symptoms and axial thoracic pain refractory to conservative management. The surgical team performs a planned open posterior fusion of the affected thoracic articular joints to permanently stabilize the segments and decompress neural elements as indicated. An autologous bone graft harvested from the patient is used to promote arthrodesis via a posterior open approach targeting the posterior column joints. Typical codes: 0RG7071
A middle-aged patient arrives emergently after a high-energy motor vehicle collision with radiographic evidence of unstable fractures involving the T3–T6 thoracic vertebral joints and progressive neurologic deficit. Urgent surgical stabilization is undertaken to render the damaged thoracic joint segments immobile and protect the spinal cord. The procedure involves open anterior column fusion using an interbody fusion device placed via an anterior open approach to restore stability across the injured thoracic levels. Typical codes: 0RG70A0
A patient with prior thoracic spine surgery has a failed fusion with persistent motion and hardware-associated pain across T2–T4, requiring revision. The revision procedure is performed percutaneously using a synthetic bone graft substitute to achieve fusion of the affected thoracic articular joints while minimizing soft tissue disruption. A percutaneous posterior-column fusion approach is used to reestablish immobility of the involved thoracic segments. Typical codes: 0RG73J1

Related Codes

0RG0-OCCIPITAL-CERVICAL-FUSION

ICD-10-PCS Code For Occipital-Cervical Joint: Procedure Code Group Overview

0RG1-CERVICAL-VERTEBRAL-JOINT-FUSION

ICD-10-PCS Code For Cervical Vertebral Joint: Procedure Code Group Overview

0RG2-CERVICAL-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Cervical Vertebral Joints: Procedure Code Group Overview

0RG4-CERVICOTHORACIC-VERTEBRAL-FUSION

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview

0RG6-THORACIC-VERTEBRAL-JOINT-FUSION

ICD-10-PCS Code For Thoracic Vertebral Joint: Procedure Code Group Overview

0RG8-THORACIC-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Thoracic Vertebral Joints: Procedure Code Group Overview

0RGA-THORACOLUMBAR-FUSION

ICD-10-PCS Code For Thoracolumbar Vertebral Joint: Procedure Code Group Overview

0RGC-TEMPOROMANDIBULAR-JOINT-FUSION

ICD-10-PCS Code For Temporomandibular Joint, Right: Procedure Code Group Overview

0RGD-LEFT-TEMPOROMANDIBULAR-JOINT-FUSION

ICD-10-PCS Code For Temporomandibular Joint, Left: Procedure Code Group Overview

0RGE-STERNOCLAVICULAR-JOINT-FUSION

ICD-10-PCS Code For Sternoclavicular Joint Right: Procedure Code Group Overview

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: Procedure Code Group Overview policy alerts

Thoracic Vertebral Joints, 2 To 7 Fusion Procedure Overview

Code Attributes

ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: Procedure Code Group Overview policy alerts

Thoracic Vertebral Joints, 2 To 7 Fusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are captured in ICD-10-PCS code group 0RG7?

How are individual procedure codes within 0RG7 differentiated?

When should a coder use codes like `0RG7070` versus `0RG73A0`?

What inpatient reimbursement groupings are related to 0RG7 procedures?

Why is precise documentation important for coding 0RG7 procedures?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are captured in ICD-10-PCS code group 0RG7?

How are individual procedure codes within 0RG7 differentiated?

When should a coder use codes like `0RG7070` versus `0RG73A0`?

What inpatient reimbursement groupings are related to 0RG7 procedures?

Why is precise documentation important for coding 0RG7 procedures?

References