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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XRGB includes procedures performed to fuse portions of an articular body part rendering the articular body part immobile in the lumbar vertebral joint. These ICD-10-PCS codes are used for inpatient documentation when a lumbar vertebral joint is surgically fused to treat instability, severe degenerative disease, or intractable pain. Accurate coding within the ICD-10-PCS XRGB group is essential for proper inpatient reimbursement, as it captures the specific fusion procedure performed and supports clinical documentation accuracy and appropriate case mix and payment.

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Lumbar Vertebral Joint Fusion Procedure Overview

This procedure group covers fusion procedures that join together portions of a lumbar vertebral joint to render the joint immobile. These procedures target the joints within the lumbar spine and are performed to eliminate motion at a diseased, unstable, or painful articular surface. Accurate ICD-10-PCS coding of these fusion procedures ensures inpatient documentation reflects the specific joint-level fusion performed and supports correct case mix assignment and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
R	Body System	Joints
G	Operation	Fusion
B	Body Part	Lumbar Vertebral Joint

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

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Lumbar Vertebral Joint Fusion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
R	Body System	Joints
G	Operation	Fusion
B	Body Part	Lumbar Vertebral Joint

When to Use

Use codes from this group when a surgical fusion of the lumbar vertebral joint is performed to eliminate motion at the joint due to instability, severe degeneration, or pain. Assign these ICD-10-PCS codes for inpatient procedures where the primary operation is fusion of the lumbar vertebral joint.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
XRGB0EA	Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGB0R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGB3R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGB4R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7

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 lumbar facet arthropathy and severe mechanical back pain refractory to conservative care presents for a planned inpatient fusion to eliminate painful motion at a degenerated lumbar facet joint; the goal is definitive immobilization of the affected lumbar vertebral joint to relieve pain and improve function. Typical codes: XRGB0EA
A middle-aged patient with chronic lumbar disc degeneration and segmental instability elects for an interbody fusion using a patient-specific anatomically contoured implant to restore disc height and stabilize the affected lumbar vertebral joint; this is scheduled as an inpatient procedure to achieve rigid fusion and correct alignment. Typical codes: XRGB0R7, XRGB3R7
A patient with prior lumbar surgery develops persistent symptomatic instability at the same lumbar level and requires a revision fusion to join the lumbar vertebral joint and prevent further motion; inpatient fusion is performed to address failed prior fixation and achieve durable immobilization of the joint. Typical codes: XRGB0R7, XRGB4R7

Related Codes

XRG1-CERVICAL-VERTEBRAL-JOINT-FUSION

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

XRG2-CERVICAL-VERTEBRAL-JOINTS-FUSION

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

XRG4-CERVICOTHORACIC-VERTEBRAL-FUSION

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

XRGA-THORACOLUMBAR-VERTEBRAL-JOINT-FUSION

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

XRGC-LUMBAR-VERTEBRAL-JOINTS-FUSION

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

XRGD-LUMBOSACRAL-JOINT-FUSION

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

XRGE-RIGHT-SACROILIAC-JOINT-FUSION

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

XRGF-LEFT-SACROILIAC-FUSION

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

XRGJ-ANKLE-JOINT-FUSION

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

XRGK-LEFT-ANKLE-JOINT-FUSION

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

Showing 1–10 of 12

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

4 rows

ICD-10-PCS Code	Description
XRGB0EA	Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGB0R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGB3R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGB4R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7

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 lumbar facet arthropathy and severe mechanical back pain refractory to conservative care presents for a planned inpatient fusion to eliminate painful motion at a degenerated lumbar facet joint; the goal is definitive immobilization of the affected lumbar vertebral joint to relieve pain and improve function. Typical codes: XRGB0EA
A middle-aged patient with chronic lumbar disc degeneration and segmental instability elects for an interbody fusion using a patient-specific anatomically contoured implant to restore disc height and stabilize the affected lumbar vertebral joint; this is scheduled as an inpatient procedure to achieve rigid fusion and correct alignment. Typical codes: XRGB0R7, XRGB3R7
A patient with prior lumbar surgery develops persistent symptomatic instability at the same lumbar level and requires a revision fusion to join the lumbar vertebral joint and prevent further motion; inpatient fusion is performed to address failed prior fixation and achieve durable immobilization of the joint. Typical codes: XRGB0R7, XRGB4R7

Related Codes

XRG1-CERVICAL-VERTEBRAL-JOINT-FUSION

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

XRG2-CERVICAL-VERTEBRAL-JOINTS-FUSION

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

XRG4-CERVICOTHORACIC-VERTEBRAL-FUSION

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

XRGA-THORACOLUMBAR-VERTEBRAL-JOINT-FUSION

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

XRGC-LUMBAR-VERTEBRAL-JOINTS-FUSION

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

XRGD-LUMBOSACRAL-JOINT-FUSION

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

XRGE-RIGHT-SACROILIAC-JOINT-FUSION

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

XRGF-LEFT-SACROILIAC-FUSION

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

XRGJ-ANKLE-JOINT-FUSION

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

XRGK-LEFT-ANKLE-JOINT-FUSION

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

Showing 1–10 of 12

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 Joint: Procedure Code Group Overview

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

Lumbar Vertebral Joint Fusion Procedure Overview

Code Attributes

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

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

Lumbar 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 fusion procedures of the lumbar vertebral joint?

What clinical indications are captured by codes in the `XRGB` group?

What are the code attributes for the XRGB procedure group?

Which specific ICD-10-PCS codes are listed within this XRGB group and how do they differ by approach or device?

How do XRGB codes impact inpatient reimbursement and DRG assignment?

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 lumbar vertebral joint?

What clinical indications are captured by codes in the `XRGB` group?

What are the code attributes for the XRGB procedure group?

Which specific ICD-10-PCS codes are listed within this XRGB group and how do they differ by approach or device?

How do XRGB codes impact inpatient reimbursement and DRG assignment?

References