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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RGA includes procedures performed to fuse portions of the thoracolumbar vertebral joint rendering the joint immobile. These ICD-10-PCS codes are used for inpatient documentation when a surgeon performs a fusion of the thoracolumbar vertebral joint to eliminate motion and stabilize the segment. Accurate coding within the ICD-10-PCS 0RGA group is essential for proper inpatient reimbursement, as it captures the fusion procedure performed and supports clinical documentation accuracy.

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Thoracolumbar Vertebral Joint Fusion Procedure Overview

This procedure group includes fusion procedures that render the thoracolumbar vertebral joint immobile by joining together portions of the articular body part. These procedures target the upper joints body system and involve creating a bony or synthetic bridge across the thoracolumbar vertebral joint to eliminate motion. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific fusion operation and body part treated, supporting appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
G	Operation	Fusion
A	Body Part	Thoracolumbar Vertebral Joint

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

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Thoracolumbar Vertebral Joint 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
A	Body Part	Thoracolumbar Vertebral Joint

When to Use

Use a code from this group when an inpatient procedure involves surgically fusing the thoracolumbar vertebral joint to eliminate motion and stabilize the spinal segment. Select the specific code based on the fusion technique and devices or grafts used, as documented in the operative report.

ICD-10-PCS Codes

33 rows

ICD-10-PCS Code	Description
0RGA070	Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RGA071	Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RGA07J	Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RGA0A0	Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RGA0AJ	Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RGA0J0	Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RGA0J1	Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RGA0JJ	Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RGA0K0	Fusion of Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RGA0K1	Fusion of Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Showing 1–10 of 33

DRG Codes

20 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
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
450	Single Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device

Showing 1–10 of 20

Typical Clinical Scenarios

A 68-year-old patient with progressive neurogenic claudication and disabling axial back pain secondary to degenerative spondylolisthesis at the thoracolumbar junction presents for inpatient surgery after conservative measures failed. The surgeon performs an open posterior column fusion using the patients autologous bone graft harvested from the iliac crest to stabilize the segment and eliminate motion causing nerve compression. This inpatient fusion renders the thoracolumbar vertebral joint immobile to achieve decompression and stability. Typical codes: 0RGA071, 0RGA07J
A 45-year-old involved in a motor vehicle collision sustains an unstable compression fracture at the thoracolumbar junction with gross instability and progressive neurologic deficit requiring urgent stabilization. In the inpatient setting the surgical team performs an open anterior column fusion using an interbody fusion device to restore alignment and immobilize the injured thoracolumbar vertebral joint. The fusion is performed urgently to prevent further neurologic deterioration and stabilize the spine. Typical codes: 0RGA0A0, 0RGA3A0
A 58-year-old with prior posterior fusion at the thoracolumbar junction presents with persistent pseudarthrosis and ongoing pain after months of failed healing. During the inpatient revision procedure the surgeon performs a posterior approach anterior column fusion using a nonautologous bone graft substitute and instrumentation to achieve solid arthrodesis and render the joint immobile. The operation targets the failed fusion site to reestablish stability and promote union. Typical codes: 0RGA0KJ, 0RGA3KJ

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

0RG8-THORACIC-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Thoracic Vertebral Joints: 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
0RGA070	Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RGA071	Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RGA07J	Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RGA0A0	Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RGA0AJ	Fusion of Thoracolumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RGA0J0	Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RGA0J1	Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RGA0JJ	Fusion of Thoracolumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RGA0K0	Fusion of Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RGA0K1	Fusion of Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach

Showing 1–10 of 33

DRG Codes

20 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
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
450	Single Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device

Showing 1–10 of 20

Typical Clinical Scenarios

A 68-year-old patient with progressive neurogenic claudication and disabling axial back pain secondary to degenerative spondylolisthesis at the thoracolumbar junction presents for inpatient surgery after conservative measures failed. The surgeon performs an open posterior column fusion using the patients autologous bone graft harvested from the iliac crest to stabilize the segment and eliminate motion causing nerve compression. This inpatient fusion renders the thoracolumbar vertebral joint immobile to achieve decompression and stability. Typical codes: 0RGA071, 0RGA07J
A 45-year-old involved in a motor vehicle collision sustains an unstable compression fracture at the thoracolumbar junction with gross instability and progressive neurologic deficit requiring urgent stabilization. In the inpatient setting the surgical team performs an open anterior column fusion using an interbody fusion device to restore alignment and immobilize the injured thoracolumbar vertebral joint. The fusion is performed urgently to prevent further neurologic deterioration and stabilize the spine. Typical codes: 0RGA0A0, 0RGA3A0
A 58-year-old with prior posterior fusion at the thoracolumbar junction presents with persistent pseudarthrosis and ongoing pain after months of failed healing. During the inpatient revision procedure the surgeon performs a posterior approach anterior column fusion using a nonautologous bone graft substitute and instrumentation to achieve solid arthrodesis and render the joint immobile. The operation targets the failed fusion site to reestablish stability and promote union. Typical codes: 0RGA0KJ, 0RGA3KJ

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

0RG8-THORACIC-VERTEBRAL-JOINTS-FUSION

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

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

Thoracolumbar Vertebral Joint Fusion Procedure Overview

Code Attributes

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

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

Thoracolumbar Vertebral Joint 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 thoracolumbar vertebral joint fusion procedures?

What are the primary attributes of the 0RGA code group in ICD-10-PCS?

How do the specific codes within 0RGA differentiate procedures?

Why is accurate coding within the 0RGA group important for inpatient reimbursement?

Which DRG categories may be related to procedures coded from the 0RGA group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers thoracolumbar vertebral joint fusion procedures?

What are the primary attributes of the 0RGA code group in ICD-10-PCS?

How do the specific codes within 0RGA differentiate procedures?

Why is accurate coding within the 0RGA group important for inpatient reimbursement?

Which DRG categories may be related to procedures coded from the 0RGA group?

References