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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SG8 includes procedures performed to fuse portions of the sacroiliac joint in the lower joints body system. These ICD-10-PCS codes are used for inpatient documentation when a surgical fusion of the left sacroiliac joint is performed to stabilize the joint or relieve pain caused by joint dysfunction. Accurate coding within the ICD-10-PCS 0SG8 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Sacroiliac Joint, Left Fusion Procedure Overview

Procedures in this ICD-10-PCS group involve surgically joining together portions of the left sacroiliac joint to render the joint immobile. These operations target the lower joints body system and are performed to stabilize or eliminate painful motion at the sacroiliac articulation. Accurate coding of these fusion procedures is important for inpatient reimbursement because it captures the specific joint fused and the fusion operation, which affects case mix and payment.

Code Attributes

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

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

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Sacroiliac Joint, Left 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
8	Body Part	Sacroiliac Joint, Left

When to Use

Use a code from this group when an inpatient undergoes surgical fusion of the left sacroiliac joint to stabilize the joint or address pain from sacroiliac dysfunction. Select the specific code when documentation confirms fusion as the root operation and identifies the body part as the sacroiliac joint, left.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
0SG804Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Open Approach
0SG807Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Open Approach
0SG80JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Open Approach
0SG80KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach
0SG834Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach
0SG837Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG83JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach
0SG83KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG844Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG847Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

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 62-year-old woman with chronic left-sided low back and buttock pain refractory to conservative therapy including physical therapy, injections, and oral analgesics elects to undergo a planned surgical fusion of the left sacroiliac joint to eliminate painful motion and stabilize the joint. Preoperative imaging demonstrates degenerative sacroiliitis with joint instability and the surgeon plans an open fusion with placement of internal fixation hardware to achieve immediate mechanical stability. The procedure is performed electively during an inpatient admission for postoperative monitoring and pain control. Typical codes: 0SG804Z
A 45-year-old male presents after a high-energy motor vehicle collision with debilitating left sacroiliac joint disruption and gross instability on CT and pelvic radiographs. Because closed reduction is insufficient and the joint cannot be stabilized nonoperatively, an urgent percutaneous fusion is performed using implanted internal fixation devices to realign and immobilize the left sacroiliac articulation. The patient is admitted for postoperative stabilization and monitoring of neurovascular status. Typical codes: 0SG834Z
A 58-year-old woman with prior left sacroiliac fusion using bone graft continues to have persistent pain and radiographic evidence of nonunion. The surgical team performs a revision percutaneous endoscopic fusion to augment the fusion bed with an autologous bone graft harvested intraoperatively and to promote biologic healing while minimizing soft tissue disruption. The patient is kept inpatient postprocedure for graft monitoring and pain control. Typical codes: 0SG847Z

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

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

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

12 rows

ICD-10-PCS Code	Description
0SG804Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Open Approach
0SG807Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Open Approach
0SG80JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Open Approach
0SG80KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach
0SG834Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach
0SG837Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG83JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach
0SG83KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG844Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG847Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

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 62-year-old woman with chronic left-sided low back and buttock pain refractory to conservative therapy including physical therapy, injections, and oral analgesics elects to undergo a planned surgical fusion of the left sacroiliac joint to eliminate painful motion and stabilize the joint. Preoperative imaging demonstrates degenerative sacroiliitis with joint instability and the surgeon plans an open fusion with placement of internal fixation hardware to achieve immediate mechanical stability. The procedure is performed electively during an inpatient admission for postoperative monitoring and pain control. Typical codes: 0SG804Z
A 45-year-old male presents after a high-energy motor vehicle collision with debilitating left sacroiliac joint disruption and gross instability on CT and pelvic radiographs. Because closed reduction is insufficient and the joint cannot be stabilized nonoperatively, an urgent percutaneous fusion is performed using implanted internal fixation devices to realign and immobilize the left sacroiliac articulation. The patient is admitted for postoperative stabilization and monitoring of neurovascular status. Typical codes: 0SG834Z
A 58-year-old woman with prior left sacroiliac fusion using bone graft continues to have persistent pain and radiographic evidence of nonunion. The surgical team performs a revision percutaneous endoscopic fusion to augment the fusion bed with an autologous bone graft harvested intraoperatively and to promote biologic healing while minimizing soft tissue disruption. The patient is kept inpatient postprocedure for graft monitoring and pain control. Typical codes: 0SG847Z

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

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

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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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 Sacroiliac Joint, Left: Procedure Code Group Overview

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

Sacroiliac Joint, Left Fusion Procedure Overview

Code Attributes

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

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

Sacroiliac Joint, Left Fusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS group 0SG8 represent?

What specific body part is coded in this ICD-10-PCS group?

Which ICD-10-PCS codes in this group indicate an open approach using an internal fixation device or a tissue substitute?

What approach variations are available within the 0SG8 code group?

How does accurate coding in the 0SG8 group affect inpatient reimbursement and DRG assignment?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS group 0SG8 represent?

What specific body part is coded in this ICD-10-PCS group?

Which ICD-10-PCS codes in this group indicate an open approach using an internal fixation device or a tissue substitute?

What approach variations are available within the 0SG8 code group?

How does accurate coding in the 0SG8 group affect inpatient reimbursement and DRG assignment?

References