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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SG1 includes procedures performed to fuse articular structures in the lumbar vertebral joints. These ICD-10-PCS codes are used for inpatient documentation when two or more lumbar vertebral joints are surgically joined together to render the joints immobile. Accurate coding within the ICD-10-PCS 0SG1 group is essential for proper inpatient reimbursement, as it captures the specific fusion procedure performed and supports clinical documentation accuracy.

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Lumbar Vertebral Joints Fusion Procedure Overview

This procedure group includes inpatient fusion procedures that join together portions of lumbar vertebral joint articular structures to render those joints immobile. These procedures target the lower joints body system, specifically two or more lumbar vertebral joints, and involve surgically creating a permanent union between articular surfaces. Accurate ICD-10-PCS coding for these fusion procedures supports correct inpatient reimbursement and reflects the complexity and clinical intent of the operation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
G	Operation	Fusion
1	Body Part	Lumbar Vertebral Joints, 2 or more

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

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Lumbar Vertebral Joints Fusion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
G	Operation	Fusion
1	Body Part	Lumbar Vertebral Joints, 2 or more

When to Use

Use a code from this group when a surgical fusion is performed on two or more lumbar vertebral joints to eliminate joint motion. These codes apply when the clinical intent is to permanently join articular surfaces of the lumbar vertebrae as part of the operative plan.

ICD-10-PCS Codes

33 rows

ICD-10-PCS Code	Description
0SG1070	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG1071	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG107J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG10AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG10J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10K1	Fusion of 2 or more Lumbar 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

A 68-year-old patient with progressive neurogenic claudication and disabling lower-extremity radiculopathy from multilevel lumbar degenerative spondylolisthesis involving two contiguous motion segments is admitted electively after failed conservative management. The surgical plan is an open anterior interbody fusion of the affected lumbar levels using an interbody fusion device to restore disc height and achieve solid arthrodesis of two or more lumbar vertebral joints. This inpatient fusion renders the involved articular joints immobile to relieve neural compression and stabilize the lumbar spine. Typical codes: 0SG10A0, 0SG10AJ
A 45-year-old patient presents urgently after a motor vehicle collision with acute unstable multilevel lumbar facet fractures and gross segmental instability across two or more lumbar levels causing severe pain and neurologic risk. The team performs an open posterior fusion using autologous bone graft to permanently join the affected lumbar articular joints and restore stability. The procedure targets the posterior column and immobilizes the injured joints to prevent further neurologic compromise. Typical codes: 0SG1071, 0SG107J
A 58-year-old patient with prior lumbar decompression and instrumented fusion develops adjacent-segment degeneration above the prior construct with refractory pain and progressive listhesis across two adjacent lumbar joints. The surgeon performs a minimally invasive posterior percutaneous fusion extension using a synthetic bone graft substitute to immobilize the two affected lumbar articular joints and extend the fusion construct. The inpatient procedure fuses the anterior column via a posterior approach percutaneously to address the failed adjacent segment without open exposure of the original fusion site. Typical codes: 0SG13J1, 0SG13JJ

Related Codes

0SG0-LUMBAR-VERTEBRAL-JOINT-FUSION

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

0SG3-LUMBOSACRAL-JOINT-FUSION

ICD-10-PCS Code For Lumbosacral Joint: Procedure Code Group Overview

0SG5-SACROCOCCYGEAL-FUSION

ICD-10-PCS Code For Sacrococcygeal Joint: Procedure Code Group Overview

0SG7-RIGHT-SACROILIAC-JOINT-FUSION

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

0SG8-LEFT-SACROILIAC-FUSION

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

0SG9-HIP-JOINT-RIGHT-FUSION

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

0SGB-HIP-JOINT-LEFT-FUSION

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

0SGC-KNEE-JOINT-FUSION

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

0SGD-KNEE-JOINT-FUSION

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

0SGF-ANKLE-JOINT-JOINING-TOGETHER-ANKLE-JOINT-FUSION

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

Showing 1–10 of 19

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
0SG1070	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG1071	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG107J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG10AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG10J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10K1	Fusion of 2 or more Lumbar 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

A 68-year-old patient with progressive neurogenic claudication and disabling lower-extremity radiculopathy from multilevel lumbar degenerative spondylolisthesis involving two contiguous motion segments is admitted electively after failed conservative management. The surgical plan is an open anterior interbody fusion of the affected lumbar levels using an interbody fusion device to restore disc height and achieve solid arthrodesis of two or more lumbar vertebral joints. This inpatient fusion renders the involved articular joints immobile to relieve neural compression and stabilize the lumbar spine. Typical codes: 0SG10A0, 0SG10AJ
A 45-year-old patient presents urgently after a motor vehicle collision with acute unstable multilevel lumbar facet fractures and gross segmental instability across two or more lumbar levels causing severe pain and neurologic risk. The team performs an open posterior fusion using autologous bone graft to permanently join the affected lumbar articular joints and restore stability. The procedure targets the posterior column and immobilizes the injured joints to prevent further neurologic compromise. Typical codes: 0SG1071, 0SG107J
A 58-year-old patient with prior lumbar decompression and instrumented fusion develops adjacent-segment degeneration above the prior construct with refractory pain and progressive listhesis across two adjacent lumbar joints. The surgeon performs a minimally invasive posterior percutaneous fusion extension using a synthetic bone graft substitute to immobilize the two affected lumbar articular joints and extend the fusion construct. The inpatient procedure fuses the anterior column via a posterior approach percutaneously to address the failed adjacent segment without open exposure of the original fusion site. Typical codes: 0SG13J1, 0SG13JJ

Related Codes

0SG0-LUMBAR-VERTEBRAL-JOINT-FUSION

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

0SG3-LUMBOSACRAL-JOINT-FUSION

ICD-10-PCS Code For Lumbosacral Joint: Procedure Code Group Overview

0SG5-SACROCOCCYGEAL-FUSION

ICD-10-PCS Code For Sacrococcygeal Joint: Procedure Code Group Overview

0SG7-RIGHT-SACROILIAC-JOINT-FUSION

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

0SG8-LEFT-SACROILIAC-FUSION

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

0SG9-HIP-JOINT-RIGHT-FUSION

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

0SGB-HIP-JOINT-LEFT-FUSION

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

0SGC-KNEE-JOINT-FUSION

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

0SGD-KNEE-JOINT-FUSION

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

0SGF-ANKLE-JOINT-JOINING-TOGETHER-ANKLE-JOINT-FUSION

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

Showing 1–10 of 19

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 Lumbar Vertebral Joints: Procedure Code Group Overview

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

Lumbar Vertebral Joints Fusion Procedure Overview

Code Attributes

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

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

Lumbar 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 two or more lumbar vertebral joints?

What are the section, body system, and operation attributes for this procedure group?

How do approach and device/substitute options appear within codes in this group?

Are these ICD-10-PCS codes relevant for inpatient reimbursement and DRG assignment?

Can a coder identify a code for fusion with an interbody fusion device using these listings?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fusion of two or more lumbar vertebral joints?

What are the section, body system, and operation attributes for this procedure group?

How do approach and device/substitute options appear within codes in this group?

Are these ICD-10-PCS codes relevant for inpatient reimbursement and DRG assignment?

Can a coder identify a code for fusion with an interbody fusion device using these listings?

References