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 XRGF includes procedures performed to fuse portions of the sacroiliac joint in the left sacroiliac region. These ICD-10-PCS codes are used for inpatient documentation when a fusion is performed to immobilize the left sacroiliac joint for stability, pain control, or as part of reconstructive care. Accurate coding within the ICD-10-PCS XRGF 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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Sacroiliac Joint Fusion Procedure Overview

This procedure group includes inpatient fusion procedures that render the left sacroiliac joint immobile by joining together portions of the articular surfaces. These operations target the joints body system and involve creating a permanent bony or device-assisted union across the sacroiliac articulation. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it documents the specific fusion performed and supports correct 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
F	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 Fusion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
R	Body System	Joints
G	Operation	Fusion
F	Body Part	Sacroiliac Joint, Left

When to Use

Use a code from this group when an inpatient fusion is performed on the left sacroiliac joint to achieve immobilization. These codes apply whether the fusion is achieved by bone graft, device placement, or other joining techniques.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
XRGF058	Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
XRGF0HB	Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11
XRGF358	Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8
XRGF3HB	Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11

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 patient with chronic left-sided sacroiliac joint pain refractory to conservative measures (physical therapy, injections, and medication) is scheduled for a planned inpatient fusion to stabilize the joint and reduce nociceptive pain. The elective admission is for definitive surgical immobilization of the left sacroiliac articulation using an internal fixation device placed via an open approach to ensure accurate hardware positioning and secure fusion. Typical codes: XRGF058, XRGF0HB
A 45-year-old patient involved in a motor vehicle collision presents with acute left sacroiliac joint disruption and severe mechanical instability with pelvic ring involvement; after initial resuscitation the patient is taken to the operating room for operative stabilization and fusion to restore pelvic stability and prevent neurovascular compromise. Because the procedure aims to join the articular surfaces and render the left sacroiliac joint immobile, internal fixation devices are used; when performed through a percutaneous approach for damage control, a percutaneous device-specific fusion code is selected. Typical codes: XRGF358, XRGF3HB
A 70-year-old patient with a prior left sacroiliac fusion presenting with persistent instability and nonunion identified on imaging undergoes revision fusion with replacement of the fixation construct and implantation of a bone-density-specific thread and porosity pattern internal fixation device via an open approach to promote union and restore stability. The inpatient revision targets joining the articular surfaces and may require device exchange and bone grafting to achieve immobilization. Typical codes: XRGF0HB

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

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

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
XRGF058	Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
XRGF0HB	Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11
XRGF358	Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8
XRGF3HB	Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11

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 patient with chronic left-sided sacroiliac joint pain refractory to conservative measures (physical therapy, injections, and medication) is scheduled for a planned inpatient fusion to stabilize the joint and reduce nociceptive pain. The elective admission is for definitive surgical immobilization of the left sacroiliac articulation using an internal fixation device placed via an open approach to ensure accurate hardware positioning and secure fusion. Typical codes: XRGF058, XRGF0HB
A 45-year-old patient involved in a motor vehicle collision presents with acute left sacroiliac joint disruption and severe mechanical instability with pelvic ring involvement; after initial resuscitation the patient is taken to the operating room for operative stabilization and fusion to restore pelvic stability and prevent neurovascular compromise. Because the procedure aims to join the articular surfaces and render the left sacroiliac joint immobile, internal fixation devices are used; when performed through a percutaneous approach for damage control, a percutaneous device-specific fusion code is selected. Typical codes: XRGF358, XRGF3HB
A 70-year-old patient with a prior left sacroiliac fusion presenting with persistent instability and nonunion identified on imaging undergoes revision fusion with replacement of the fixation construct and implantation of a bone-density-specific thread and porosity pattern internal fixation device via an open approach to promote union and restore stability. The inpatient revision targets joining the articular surfaces and may require device exchange and bone grafting to achieve immobilization. Typical codes: XRGF0HB

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

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

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 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 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 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 of the left sacroiliac joint?

What are the individual ICD-10-PCS procedure codes in the XRGF group?

What code attributes define the XRGF procedure group?

Why is accurate coding in the XRGF group important for inpatient billing?

Which DRGs may be related to procedures in the XRGF group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fusion of the left sacroiliac joint?

What are the individual ICD-10-PCS procedure codes in the XRGF group?

What code attributes define the XRGF procedure group?

Why is accurate coding in the XRGF group important for inpatient billing?

Which DRGs may be related to procedures in the XRGF group?

References