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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SG3 includes procedures performed to fuse portions of the lumbosacral joint rendering the joint immobile in the lower joints. These ICD-10-PCS codes are used for inpatient documentation when surgical fusion of the lumbosacral joint is performed to stabilize, eliminate motion, or treat joint pathology. Accurate coding within the ICD-10-PCS 0SG3 group is essential for proper inpatient reimbursement, as it captures the fusion procedure performed and determines appropriate case mix and payment.

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Lumbosacral Joint Fusion Procedure Overview

Procedures in this group involve surgical joining together of portions of the lumbosacral joint to render the joint immobile. These procedures target the lower joints body system, specifically the lumbosacral joint, and include techniques to fuse articular surfaces or appendages. Accurate coding is important for inpatient reimbursement because it documents the fusion procedure performed and supports appropriate case mix and payment determinations.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
G	Operation	Fusion
3	Body Part	Lumbosacral Joint

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

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Lumbosacral Joint 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
3	Body Part	Lumbosacral Joint

When to Use

Use a code from this group when an inpatient undergoes a surgical fusion of the lumbosacral joint to eliminate motion for stabilization or treatment of joint disease. Select the specific ICD-10-PCS code that reflects the exact fusion technique, approach, and any devices used as documented in the operative report.

ICD-10-PCS Codes

33 rows

ICD-10-PCS Code	Description
0SG3070	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG3071	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG307J	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30A0	Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG30AJ	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG30J0	Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30JJ	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30K0	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30K1	Fusion of Lumbosacral 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

An elderly patient with progressive mechanical low back pain and neurogenic claudication from proven degenerative spondylolisthesis at the lumbosacral junction after failed conservative care is admitted for elective surgical stabilization. The planned operation is an open anterior column interbody fusion using the patient’s own iliac crest bone graft to achieve segmental immobilization and restore alignment. A code is selected that reflects fusion of the lumbosacral joint, anterior approach, anterior column, open approach, with autologous tissue substitute. Typical codes: 0SG3070
A middle-aged patient presents after a motor vehicle collision with acute unstable lumbosacral joint disruption and severe pain with radiographic evidence of joint instability; the patient is taken urgently to the operating room for posterior open fusion to render the joint immobile and restore stability. The surgeon performs an open posterior-column fusion using an interbody device placed from a posterior approach to achieve stabilization of the lumbosacral articulation. Typical codes: 0SG30AJ
A patient who previously underwent a percutaneous fusion at the lumbosacral junction presents with persistent nonunion and hardware-associated pain; the team performs a revision using a percutaneous endoscopic posterior approach with implantation of a synthetic bone substitute to achieve definitive fusion of the joint. The procedure targets the anterior column of the lumbosacral joint via a posterior endoscopic technique with a synthetic substitute to promote fusion. Typical codes: 0SG34JJ

Related Codes

0SG0-LUMBAR-VERTEBRAL-JOINT-FUSION

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

0SG1-LUMBAR-VERTEBRAL-FUSION

ICD-10-PCS Code For Lumbar Vertebral Joints: 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
0SG3070	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG3071	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG307J	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30A0	Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG30AJ	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG30J0	Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30JJ	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30K0	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30K1	Fusion of Lumbosacral 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

An elderly patient with progressive mechanical low back pain and neurogenic claudication from proven degenerative spondylolisthesis at the lumbosacral junction after failed conservative care is admitted for elective surgical stabilization. The planned operation is an open anterior column interbody fusion using the patient’s own iliac crest bone graft to achieve segmental immobilization and restore alignment. A code is selected that reflects fusion of the lumbosacral joint, anterior approach, anterior column, open approach, with autologous tissue substitute. Typical codes: 0SG3070
A middle-aged patient presents after a motor vehicle collision with acute unstable lumbosacral joint disruption and severe pain with radiographic evidence of joint instability; the patient is taken urgently to the operating room for posterior open fusion to render the joint immobile and restore stability. The surgeon performs an open posterior-column fusion using an interbody device placed from a posterior approach to achieve stabilization of the lumbosacral articulation. Typical codes: 0SG30AJ
A patient who previously underwent a percutaneous fusion at the lumbosacral junction presents with persistent nonunion and hardware-associated pain; the team performs a revision using a percutaneous endoscopic posterior approach with implantation of a synthetic bone substitute to achieve definitive fusion of the joint. The procedure targets the anterior column of the lumbosacral joint via a posterior endoscopic technique with a synthetic substitute to promote fusion. Typical codes: 0SG34JJ

Related Codes

0SG0-LUMBAR-VERTEBRAL-JOINT-FUSION

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

0SG1-LUMBAR-VERTEBRAL-FUSION

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

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

Lumbosacral Joint Fusion Procedure Overview

Code Attributes

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

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

Lumbosacral 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 fusion procedures of the lumbosacral joint?

What body system and operation do codes in the 0SG3 group represent?

How do the codes in this group differentiate by approach, device, and column?

Why is accurate coding within ICD-10-PCS 0SG3 important for inpatient reimbursement?

Which DRGs are commonly associated with procedures in the 0SG3 lumbosacral fusion group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fusion procedures of the lumbosacral joint?

What body system and operation do codes in the 0SG3 group represent?

How do the codes in this group differentiate by approach, device, and column?

Why is accurate coding within ICD-10-PCS 0SG3 important for inpatient reimbursement?

Which DRGs are commonly associated with procedures in the 0SG3 lumbosacral fusion group?

References