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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XRGJ includes procedures performed to fuse portions of the articular surfaces in the right ankle joint. These ICD-10-PCS codes are used for inpatient documentation when surgical arthrodesis is performed to immobilize and stabilize the ankle joint. Accurate coding within the ICD-10-PCS XRGJ group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Ankle Joint Fusion Procedure Overview

Procedures in this group involve surgically joining together portions of the right ankle joint to render the articular surface immobile. These fusion procedures target the joints body system and are performed to relieve pain, correct deformity, or stabilize the joint. Accurate ICD-10-PCS coding of these fusion procedures is important for inpatient reimbursement and for reflecting the clinical intensity and resource use of the hospitalization.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
R	Body System	Joints
G	Operation	Fusion
J	Body Part	Ankle Joint, Right

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

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Ankle 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
J	Body Part	Ankle Joint, Right

When to Use

Use a code from this group when a surgeon performs arthrodesis of the right ankle joint to immobilize or stabilize the joint. These codes apply to inpatient encounters where the primary operation is fusion of the right ankle articular surfaces.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
XRGJ0B9	Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9
XRGJ0CA	Fusion of Right Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10

DRG Codes

12 rows

DRG Code	Description
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC
494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A 62-year-old patient with end-stage post-traumatic osteoarthritis of the right ankle presents with persistent severe pain, deformity, and loss of weight-bearing function despite maximal conservative management. The orthopedic team performs a planned open ankle arthrodesis using a truss-style internal fixation device to achieve rigid fusion and correct alignment, requiring inpatient postoperative monitoring for pain control and wound care. This procedure renders the articular surfaces immobile to relieve pain and stabilize the joint. Typical codes: XRGJ0B9
A 45-year-old diabetic patient sustains a complex right pilon fracture with severe articular surface comminution and instability after a motor vehicle collision, necessitating staged management and eventual definitive open fusion of the right ankle to restore stability. Given the damaged articular cartilage and instability, the surgical team performs an open fusion using a gyroid-sheet lattice internal fixation device to promote structural support and immobilize the joint, with inpatient care for infection risk mitigation and rehabilitation planning. The fusion is selected to establish a stable, pain-free weight-bearing platform. Typical codes: XRGJ0CA
A 58-year-old patient with a prior right ankle fusion using conventional hardware presents with persistent nonunion, hardware loosening, and chronic pain. The surgeon performs an open revision arthrodesis of the right ankle, removing failed implants and re-establishing fusion using an advanced truss-design internal fixation device to achieve rigid immobilization of the articular surfaces and address the nonunion. The inpatient stay focuses on postoperative stabilization, monitoring for wound complications, and initiation of protected weight-bearing. Typical codes: XRGJ0B9

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

XRGF-LEFT-SACROILIAC-FUSION

ICD-10-PCS Code For Sacroiliac Joint, Left: 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

2 rows

ICD-10-PCS Code	Description
XRGJ0B9	Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9
XRGJ0CA	Fusion of Right Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10

DRG Codes

12 rows

DRG Code	Description
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC
494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A 62-year-old patient with end-stage post-traumatic osteoarthritis of the right ankle presents with persistent severe pain, deformity, and loss of weight-bearing function despite maximal conservative management. The orthopedic team performs a planned open ankle arthrodesis using a truss-style internal fixation device to achieve rigid fusion and correct alignment, requiring inpatient postoperative monitoring for pain control and wound care. This procedure renders the articular surfaces immobile to relieve pain and stabilize the joint. Typical codes: XRGJ0B9
A 45-year-old diabetic patient sustains a complex right pilon fracture with severe articular surface comminution and instability after a motor vehicle collision, necessitating staged management and eventual definitive open fusion of the right ankle to restore stability. Given the damaged articular cartilage and instability, the surgical team performs an open fusion using a gyroid-sheet lattice internal fixation device to promote structural support and immobilize the joint, with inpatient care for infection risk mitigation and rehabilitation planning. The fusion is selected to establish a stable, pain-free weight-bearing platform. Typical codes: XRGJ0CA
A 58-year-old patient with a prior right ankle fusion using conventional hardware presents with persistent nonunion, hardware loosening, and chronic pain. The surgeon performs an open revision arthrodesis of the right ankle, removing failed implants and re-establishing fusion using an advanced truss-design internal fixation device to achieve rigid immobilization of the articular surfaces and address the nonunion. The inpatient stay focuses on postoperative stabilization, monitoring for wound complications, and initiation of protected weight-bearing. Typical codes: XRGJ0B9

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

XRGF-LEFT-SACROILIAC-FUSION

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

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

Ankle Joint Fusion Procedure Overview

Code Attributes

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

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

Ankle Joint Fusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the Ankle Joint, Right ICD-10-PCS group XRGJ?

What is the primary clinical purpose of procedures coded in the XRGJ group?

In which ICD-10-PCS section and body system are XRGJ codes categorized?

How do XRGJ codes relate to inpatient reimbursement and DRG assignment?

What are the specific device and approach attributes noted for `XRGJ0B9` and `XRGJ0CA`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the Ankle Joint, Right ICD-10-PCS group XRGJ?

What is the primary clinical purpose of procedures coded in the XRGJ group?

In which ICD-10-PCS section and body system are XRGJ codes categorized?

How do XRGJ codes relate to inpatient reimbursement and DRG assignment?

What are the specific device and approach attributes noted for `XRGJ0B9` and `XRGJ0CA`?

References