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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SG5 includes procedures performed to fuse portions of the sacrococcygeal joint in the lower joints. These ICD-10-PCS codes are used for inpatient documentation when surgical fusion of the sacrococcygeal joint is performed to immobilize the articulation for pain relief, instability, or deformity. Accurate coding within the ICD-10-PCS 0SG5 group is essential for proper inpatient reimbursement, as it captures the definitive surgical procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacrococcygeal Joint Fusion Procedure Overview

The procedures in this group involve surgically joining together portions of the sacrococcygeal joint to render the joint immobile. These fusion procedures target the lower joints body system and include techniques to create bony continuity across the sacrococcygeal articulation. Accurate inpatient coding of these fusions supports appropriate documentation of the procedure performed and is important for correct inpatient reimbursement.

Code Attributes

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

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacrococcygeal 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
5	Body Part	Sacrococcygeal Joint

When to Use

Use a code from this group when documentation indicates that portions of the sacrococcygeal joint were joined together to achieve immobility. Select the specific ICD-10-PCS code based on approach, graft material, and any additional qualifying attributes documented in the operative report.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
0SG504Z	Fusion of Sacrococcygeal Joint with Internal Fixation Device, Open Approach
0SG507Z	Fusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Open Approach
0SG50JZ	Fusion of Sacrococcygeal Joint with Synthetic Substitute, Open Approach
0SG50KZ	Fusion of Sacrococcygeal Joint with Nonautologous Tissue Substitute, Open Approach
0SG534Z	Fusion of Sacrococcygeal Joint with Internal Fixation Device, Percutaneous Approach
0SG537Z	Fusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG53JZ	Fusion of Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Approach
0SG53KZ	Fusion of Sacrococcygeal Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG544Z	Fusion of Sacrococcygeal Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG547Z	Fusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

16 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures 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
451	Single 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
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC

Showing 1–10 of 16

Typical Clinical Scenarios

An elderly patient with chronic sacrococcygeal pain and progressive instability after failed conservative management including physical therapy and steroid injections is admitted for a planned surgical procedure to eliminate motion at the sacrococcygeal articulation. The surgeon performs an open posterior fusion of the sacrococcygeal joint using an internal fixation device to obtain immediate stability and promote arthrodesis. The goal is durable pain relief and correction of instability documented on preoperative imaging. Typical codes: 0SG504Z
A middle-aged patient presents after a fall with acute sacrococcygeal fracture-dislocation causing severe pain and neurologic symptoms; imaging shows disrupted joint surfaces and instability. In the inpatient setting the team performs a percutaneous fusion of the sacrococcygeal joint using internal fixation to restore alignment and immobilize the articulation while minimizing soft-tissue disruption. This approach is chosen to treat the acute mechanical instability and permit early stabilization. Typical codes: 0SG534Z
A patient with prior sacrococcygeal fusion using bone graft presents months later with persistent nonunion and continued pain; operative exploration is undertaken to revise the fusion. The surgeon performs a percutaneous endoscopic fusion revision and places an autologous bone graft substitute harvested during the procedure to promote union while using a minimally invasive endoscopic approach to limit tissue disruption. This addresses the complication of failed prior fusion and aims to achieve solid arthrodesis. Typical codes: 0SG547Z

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

0SG3-LUMBOSACRAL-JOINT-FUSION

ICD-10-PCS Code For Lumbosacral 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
0SG504Z	Fusion of Sacrococcygeal Joint with Internal Fixation Device, Open Approach
0SG507Z	Fusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Open Approach
0SG50JZ	Fusion of Sacrococcygeal Joint with Synthetic Substitute, Open Approach
0SG50KZ	Fusion of Sacrococcygeal Joint with Nonautologous Tissue Substitute, Open Approach
0SG534Z	Fusion of Sacrococcygeal Joint with Internal Fixation Device, Percutaneous Approach
0SG537Z	Fusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG53JZ	Fusion of Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Approach
0SG53KZ	Fusion of Sacrococcygeal Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG544Z	Fusion of Sacrococcygeal Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG547Z	Fusion of Sacrococcygeal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

16 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures 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
451	Single 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
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC

Showing 1–10 of 16

Typical Clinical Scenarios

An elderly patient with chronic sacrococcygeal pain and progressive instability after failed conservative management including physical therapy and steroid injections is admitted for a planned surgical procedure to eliminate motion at the sacrococcygeal articulation. The surgeon performs an open posterior fusion of the sacrococcygeal joint using an internal fixation device to obtain immediate stability and promote arthrodesis. The goal is durable pain relief and correction of instability documented on preoperative imaging. Typical codes: 0SG504Z
A middle-aged patient presents after a fall with acute sacrococcygeal fracture-dislocation causing severe pain and neurologic symptoms; imaging shows disrupted joint surfaces and instability. In the inpatient setting the team performs a percutaneous fusion of the sacrococcygeal joint using internal fixation to restore alignment and immobilize the articulation while minimizing soft-tissue disruption. This approach is chosen to treat the acute mechanical instability and permit early stabilization. Typical codes: 0SG534Z
A patient with prior sacrococcygeal fusion using bone graft presents months later with persistent nonunion and continued pain; operative exploration is undertaken to revise the fusion. The surgeon performs a percutaneous endoscopic fusion revision and places an autologous bone graft substitute harvested during the procedure to promote union while using a minimally invasive endoscopic approach to limit tissue disruption. This addresses the complication of failed prior fusion and aims to achieve solid arthrodesis. Typical codes: 0SG547Z

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

0SG3-LUMBOSACRAL-JOINT-FUSION

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

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

Sacrococcygeal Joint Fusion Procedure Overview

Code Attributes

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

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

Sacrococcygeal 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 sacrococcygeal joint fusion procedures?

What are the approach and device variations included in the 0SG5 code set?

How does coding in 0SG5 affect inpatient reimbursement documentation?

What is the ICD-10-PCS section, body system, and operation for these procedures?

Which DRGs may be related to sacrococcygeal joint fusion procedures coded in 0SG5?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

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

What are the approach and device variations included in the 0SG5 code set?

How does coding in 0SG5 affect inpatient reimbursement documentation?

What is the ICD-10-PCS section, body system, and operation for these procedures?

Which DRGs may be related to sacrococcygeal joint fusion procedures coded in 0SG5?

References