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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RG8 includes procedures performed to fuse articular portions of thoracic vertebral joints in the thoracic spine. These ICD-10-PCS codes are used for inpatient documentation when surgical fusion of eight or more thoracic vertebral joint levels is performed to stabilize the spine or eliminate joint motion. Accurate coding within the ICD-10-PCS 0RG8 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 Fusion Procedure Overview

This group includes inpatient fusion procedures that join together portions of thoracic vertebral joints to render those joints immobile. These procedures target the thoracic spine within the upper joints body system and are performed to stabilize spinal segments, relieve pain, or correct deformity. Accurate ICD-10-PCS coding is important for documenting the procedure, supporting clinical records, and ensuring 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
8	Body Part	Thoracic Vertebral Joints, 8 or more

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

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Thoracic Vertebral Joints 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
8	Body Part	Thoracic Vertebral Joints, 8 or more

When to Use

Use a code from this group when surgical fusion of eight or more thoracic vertebral joints is performed to stabilize the thoracic spine or stop joint motion. These codes apply when the operation meets inpatient documentation requirements and the procedure description specifies fusion of eight or more thoracic joint levels.

ICD-10-PCS Codes

33 rows

ICD-10-PCS Code	Description
0RG8070	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG8071	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG807J	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80A0	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG80AJ	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG80J0	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG80J1	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG80JJ	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80K0	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG80K1	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Showing 1–10 of 33

DRG Codes

15 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
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
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An elderly patient with progressive multilevel thoracic kyphosis and debilitating mechanical back pain refractory to conservative therapy is admitted electively for posterior spinal fusion spanning eight or more thoracic vertebral joint levels to restore alignment and stabilize the thoracic spine. The planned operation uses open posterior techniques with placement of bone graft (autologous) to achieve arthrodesis across the posterior column. Typical codes: 0RG8071, 0RG80J1
A middle-aged patient presents after a high-energy motor vehicle collision with unstable multilevel thoracic facet joint injuries and neurological compromise requiring urgent surgical stabilization; the team performs an open posterior fusion across eight or more thoracic joint levels to stop motion at the injured segments and protect the spinal cord. Because the procedure is posterior, open, and uses an interbody or structural device or graft depending on intraoperative findings, posterior open fusion codes for eight or more levels apply. Typical codes: 0RG80AJ, 0RG8071
A patient with prior thoracic fusion develops adjacent-segment failure and progressive deformity above the previous construct; during an inpatient revision the surgeon extends the fusion to include eight or more thoracic vertebral joints using posterior open approach and implants a synthetic or nonautologous tissue substitute to promote fusion across the augmented construct. This revision inpatient operation targets stabilization across multiple thoracic joint levels to eliminate pathologic motion. Typical codes: 0RG80JJ, 0RG80K1

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

0RG7-THORACIC-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Thoracic Vertebral Joints, 2 To 7: 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
0RG8070	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG8071	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG807J	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80A0	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG80AJ	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG80J0	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG80J1	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG80JJ	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80K0	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG80K1	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Showing 1–10 of 33

DRG Codes

15 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
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
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An elderly patient with progressive multilevel thoracic kyphosis and debilitating mechanical back pain refractory to conservative therapy is admitted electively for posterior spinal fusion spanning eight or more thoracic vertebral joint levels to restore alignment and stabilize the thoracic spine. The planned operation uses open posterior techniques with placement of bone graft (autologous) to achieve arthrodesis across the posterior column. Typical codes: 0RG8071, 0RG80J1
A middle-aged patient presents after a high-energy motor vehicle collision with unstable multilevel thoracic facet joint injuries and neurological compromise requiring urgent surgical stabilization; the team performs an open posterior fusion across eight or more thoracic joint levels to stop motion at the injured segments and protect the spinal cord. Because the procedure is posterior, open, and uses an interbody or structural device or graft depending on intraoperative findings, posterior open fusion codes for eight or more levels apply. Typical codes: 0RG80AJ, 0RG8071
A patient with prior thoracic fusion develops adjacent-segment failure and progressive deformity above the previous construct; during an inpatient revision the surgeon extends the fusion to include eight or more thoracic vertebral joints using posterior open approach and implants a synthetic or nonautologous tissue substitute to promote fusion across the augmented construct. This revision inpatient operation targets stabilization across multiple thoracic joint levels to eliminate pathologic motion. Typical codes: 0RG80JJ, 0RG80K1

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

0RG7-THORACIC-VERTEBRAL-JOINTS-FUSION

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

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

Thoracic Vertebral Joints Fusion Procedure Overview

Code Attributes

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

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

Thoracic Vertebral Joints Fusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fusion of eight or more thoracic vertebral joints?

What body system and operation are represented by the 0RG8 code group?

How do the codes in 0RG8 differentiate by approach, column, and device or tissue substitute?

Can you list examples of specific ICD-10-PCS codes in the 0RG8 group and what they represent?

Which DRGs are related to procedures coded from the 0RG8 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fusion of eight or more thoracic vertebral joints?

What body system and operation are represented by the 0RG8 code group?

How do the codes in 0RG8 differentiate by approach, column, and device or tissue substitute?

Can you list examples of specific ICD-10-PCS codes in the 0RG8 group and what they represent?

Which DRGs are related to procedures coded from the 0RG8 group?

References