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 XRGD includes procedures performed to join together portions of an articular body part rendering the articular body part immobile in the lumbosacral joint. These ICD-10-PCS codes are used for inpatient documentation when a fusion of portions of the lumbosacral joint is performed to eliminate motion across the joint. Accurate coding within the ICD-10-PCS XRGD group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Lumbosacral Joint Fusion Procedure Overview

This procedure group includes inpatient fusion procedures that join together portions of the lumbosacral joint to render the joint immobile. These procedures target the joints within the lumbosacral region of the spine and fall under the Joints body system. Accurate ICD-10-PCS coding matters for inpatient reimbursement and clinical record integrity because it captures the specific fusion procedure performed and supports appropriate case mix and payment.

Code Attributes

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

When to Use

Use an ICD-10-PCS XRGD code when the clinical operative note documents a fusion of portions of the lumbosacral joint intended to eliminate joint motion. Select the code that matches the documented fusion approach and any associated devices or grafts recorded in the inpatient record.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
XRGD0EA	Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGD0R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGD3R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGD4R7	Fusion of Lumbosacral 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 neurogenic claudication and imaging-confirmed severe degenerative facet arthropathy at the L5–S1 lumbosacral facet joints who has failed conservative care (physical therapy, injections) and presents for an elective inpatient fusion to eliminate painful motion and decompress neural elements; an open fusion targeting the lumbosacral facet articulation is performed using paired titanium facet fusion cages to achieve arthrodesis. Typical codes: XRGD0EA
A middle-aged patient with chronic low back pain and lumbar instability after prior discectomy at L5–S1 who elects for interbody fusion with a patient-specific, custom-made anatomically designed interbody device to restore disc height and stabilize the lumbosacral joint; the surgery is planned as a minimally invasive percutaneous interbody fusion. Typical codes: XRGD3R7
A patient with recurrent lumbosacral pseudarthrosis and persistent motion-related pain after prior fusion attempts presenting for revision surgery; the surgeon performs a percutaneous endoscopic approach to remove nonunion tissue and place a custom-made anatomically designed interbody fusion device to achieve definitive arthrodesis of the lumbosacral joint. Typical codes: XRGD4R7, XRGD3R7

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

XRGB-LUMBAR-VERTEBRAL-JOINT-FUSION

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

XRGC-LUMBAR-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Lumbar Vertebral Joints: 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
XRGD0EA	Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGD0R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGD3R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGD4R7	Fusion of Lumbosacral 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 neurogenic claudication and imaging-confirmed severe degenerative facet arthropathy at the L5–S1 lumbosacral facet joints who has failed conservative care (physical therapy, injections) and presents for an elective inpatient fusion to eliminate painful motion and decompress neural elements; an open fusion targeting the lumbosacral facet articulation is performed using paired titanium facet fusion cages to achieve arthrodesis. Typical codes: XRGD0EA
A middle-aged patient with chronic low back pain and lumbar instability after prior discectomy at L5–S1 who elects for interbody fusion with a patient-specific, custom-made anatomically designed interbody device to restore disc height and stabilize the lumbosacral joint; the surgery is planned as a minimally invasive percutaneous interbody fusion. Typical codes: XRGD3R7
A patient with recurrent lumbosacral pseudarthrosis and persistent motion-related pain after prior fusion attempts presenting for revision surgery; the surgeon performs a percutaneous endoscopic approach to remove nonunion tissue and place a custom-made anatomically designed interbody fusion device to achieve definitive arthrodesis of the lumbosacral joint. Typical codes: XRGD4R7, XRGD3R7

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

XRGB-LUMBAR-VERTEBRAL-JOINT-FUSION

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

XRGC-LUMBAR-VERTEBRAL-JOINTS-FUSION

ICD-10-PCS Code For Lumbar Vertebral Joints: 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 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 body system and operation does the XRGD code group represent?

What specific ICD-10-PCS codes are included in the Lumbosacral Joint XRGD group?

How does accurate coding within XRGD affect reimbursement?

Which DRGs might be assigned for procedures in the XRGD group?

What code attributes define the XRGD lumbosacral joint fusion group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the XRGD code group represent?

What specific ICD-10-PCS codes are included in the Lumbosacral Joint XRGD group?

How does accurate coding within XRGD affect reimbursement?

Which DRGs might be assigned for procedures in the XRGD group?

What code attributes define the XRGD lumbosacral joint fusion group?

References