Table 6P.2h - List of ICD-10-PCS procedure codes describing multiple level spinal fusion except cervical and custom-made anatomically designed interbody fusion								
Multiple Level Spinal Fusion Logic List 1 - Multiple level anterior fusion 								
Multiple Level Spinal Fusion Logic List 2 - Multiple level posterior fusion								
Multiple Level Spinal Fusion Logic List 3 - Any 2 or more single level anterior fusions 								
Multiple Level Spinal Fusion Logic List 4 - Any 2 or more single level posterior fusions 								
Custom-Made Anatomically Designed Interbody Fusion Logic List 5 -  Single level and multiple level fusion using a custom-made anatomically designed interbody fusion device 								
								
Multiple Level Spinal Fusion Logic List 1 - Multiple level anterior fusion 								
Multiple Level Anterior Fusion Logic List 								
ICD-10-PCS Procedure Code	Description							
0RG7070	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, anterior approach, anterior column, open approach"							
0RG707J	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, posterior approach, anterior column, open approach"							
0RG70A0	"Fusion of 2 to 7 thoracic vertebral joints with interbody fusion device, anterior approach, anterior column, open approach"							
0RG70AJ	"Fusion of 2 to 7 thoracic vertebral joints with interbody fusion device, posterior approach, anterior column, open approach"							
0RG70J0	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, anterior approach, anterior column, open approach"							
0RG70JJ	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, posterior approach, anterior column, open approach"							
0RG70K0	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, anterior approach, anterior column, open approach"							
0RG70KJ	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, posterior approach, anterior column, open approach"							
0RG7370	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0RG737J	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0RG73A0	"Fusion of 2 to 7 thoracic vertebral joints with interbody fusion device, anterior approach, anterior column, percutaneous approach"							
0RG73AJ	"Fusion of 2 to 7 thoracic vertebral joints with interbody fusion device, posterior approach, anterior column, percutaneous approach"							
0RG73J0	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, anterior approach, anterior column, percutaneous approach"							
0RG73JJ	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, posterior approach, anterior column, percutaneous approach"							
0RG73K0	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0RG73KJ	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0RG7470	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG747J	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RG74A0	"Fusion of 2 to 7 thoracic vertebral joints with interbody fusion device, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG74AJ	"Fusion of 2 to 7 thoracic vertebral joints with interbody fusion device, posterior approach, anterior column, percutaneous endoscopic approach"							
0RG74J0	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG74JJ	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RG74K0	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG74KJ	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG1070	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, anterior approach, anterior column, open approach"							
0SG107J	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, posterior approach, anterior column, open approach"							
0SG10A0	"Fusion of 2 or more lumbar vertebral joints with interbody fusion device, anterior approach, anterior column, open approach"							
0SG10AJ	"Fusion of 2 or more lumbar vertebral joints with interbody fusion device, posterior approach, anterior column, open approach"							
0SG10J0	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, anterior approach, anterior column, open approach"							
0SG10JJ	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, posterior approach, anterior column, open approach"							
0SG10K0	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, anterior approach, anterior column, open approach"							
0SG10KJ	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, posterior approach, anterior column, open approach"							
0SG1370	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0SG137J	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0SG13A0	"Fusion of 2 or more lumbar vertebral joints with interbody fusion device, anterior approach, anterior column, percutaneous approach"							
0SG13AJ	"Fusion of 2 or more lumbar vertebral joints with interbody fusion device, posterior approach, anterior column, percutaneous approach"							
0SG13J0	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, anterior approach, anterior column, percutaneous approach"							
0SG13JJ	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, posterior approach, anterior column, percutaneous approach"							
0SG13K0	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0SG13KJ	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0SG1470	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG147J	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG14A0	"Fusion of 2 or more lumbar vertebral joints with interbody fusion device, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG14AJ	"Fusion of 2 or more lumbar vertebral joints with interbody fusion device, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG14J0	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG14JJ	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG14K0	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG14KJ	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
XRGC0R7	"Fusion of 2 or more lumbar vertebral joints using custom-made anatomically designed interbody fusion device, open approach, new technology group 7"							
XRGC3R7	"Fusion of 2 or more lumbar vertebral joints using custom-made anatomically designed interbody fusion device, percutaneous approach, new technology group 7"							
XRGC4R7	"Fusion of 2 or more lumbar vertebral joints using custom-made anatomically designed interbody fusion device, percutaneous endoscopic approach, new technology group 7"							
								
Multiple Level Spinal Fusion Logic List 2 - Multiple level posterior fusion 								
Multiple Level Posterior Fusion Logic List 								
ICD-10-PCS Procedure Code	Description							
0RG7071	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, posterior approach, posterior column, open approach"							
0RG70J1	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, posterior approach, posterior column, open approach"							
0RG70K1	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, posterior approach, posterior column, open approach"							
0RG7371	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0RG73J1	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, posterior approach, posterior column, percutaneous approach"							
0RG73K1	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0RG7471	"Fusion of 2 to 7 thoracic vertebral joints with autologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RG74J1	"Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RG74K1	"Fusion of 2 to 7 thoracic vertebral joints with nonautologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG1071	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, posterior approach, posterior column, open approach"							
0SG10J1	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, posterior approach, posterior column, open approach"							
0SG10K1	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, posterior approach, posterior column, open approach"							
0SG1371	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0SG13J1	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, posterior approach, posterior column, percutaneous approach"							
0SG13K1	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0SG1471	"Fusion of 2 or more lumbar vertebral joints with autologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG14J1	"Fusion of 2 or more lumbar vertebral joints with synthetic substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG14K1	"Fusion of 2 or more lumbar vertebral joints with nonautologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
XRGC0EA 	"Fusion of 2 or more lumbar vertebral joints using facet joint fusion device, paired titanium cages, open approach, new technology group 10"							
								
Multiple Level Spinal Fusion Logic List 3 - Any 2 or more single level anterior fusions 								
Single Level Anterior Fusion Logic List 								
ICD-10-PCS Procedure Code	Description							
0RG6070	"Fusion of thoracic vertebral joint with autologous tissue substitute, anterior approach, anterior column, open approach"							
0RG607J	"Fusion of thoracic vertebral joint with autologous tissue substitute, posterior approach, anterior column, open approach"							
0RG60A0	"Fusion of thoracic vertebral joint with interbody fusion device, anterior approach, anterior column, open approach"							
0RG60AJ	"Fusion of thoracic vertebral joint with interbody fusion device, posterior approach, anterior column, open approach"							
0RG60J0	"Fusion of thoracic vertebral joint with synthetic substitute, anterior approach, anterior column, open approach"							
0RG60JJ	"Fusion of thoracic vertebral joint with synthetic substitute, posterior approach, anterior column, open approach"							
0RG60K0	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, open approach"							
0RG60KJ	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, open approach"							
0RG6370	"Fusion of thoracic vertebral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0RG637J	"Fusion of thoracic vertebral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0RG63A0	"Fusion of thoracic vertebral joint with interbody fusion device, anterior approach, anterior column, percutaneous approach"							
0RG63AJ	"Fusion of thoracic vertebral joint with interbody fusion device, posterior approach, anterior column, percutaneous approach"							
0RG63J0	"Fusion of thoracic vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous approach"							
0RG63JJ	"Fusion of thoracic vertebral joint with synthetic substitute, posterior approach, anterior column, percutaneous approach"							
0RG63K0	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0RG63KJ	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0RG6470	"Fusion of thoracic vertebral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG647J	"Fusion of thoracic vertebral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RG64A0	"Fusion of thoracic vertebral joint with interbody fusion device, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG64AJ	"Fusion of thoracic vertebral joint with interbody fusion device, posterior approach, anterior column, percutaneous endoscopic approach"							
0RG64J0	"Fusion of thoracic vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG64JJ	"Fusion of thoracic vertebral joint with synthetic substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RG64K0	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RG64KJ	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RGA070	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, anterior approach, anterior column, open approach"							
0RGA07J	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, posterior approach, anterior column, open approach"							
0RGA0A0	"Fusion of thoracolumbar vertebral joint with interbody fusion device, anterior approach, anterior column, open approach"							
0RGA0AJ	"Fusion of thoracolumbar vertebral joint with interbody fusion device, posterior approach, anterior column, open approach"							
0RGA0J0	"Fusion of thoracolumbar vertebral joint with synthetic substitute, anterior approach, anterior column, open approach"							
0RGA0JJ	"Fusion of thoracolumbar vertebral joint with synthetic substitute, posterior approach, anterior column, open approach"							
0RGA0K0	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, open approach"							
0RGA0KJ	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, open approach"							
0RGA370	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0RGA37J	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0RGA3A0	"Fusion of thoracolumbar vertebral joint with interbody fusion device, anterior approach, anterior column, percutaneous approach"							
0RGA3AJ	"Fusion of thoracolumbar vertebral joint with interbody fusion device, posterior approach, anterior column, percutaneous approach"							
0RGA3J0	"Fusion of thoracolumbar vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous approach"							
0RGA3JJ	"Fusion of thoracolumbar vertebral joint with synthetic substitute, posterior approach, anterior column, percutaneous approach"							
0RGA3K0	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0RGA3KJ	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0RGA470	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RGA47J	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RGA4A0	"Fusion of thoracolumbar vertebral joint with interbody fusion device, anterior approach, anterior column, percutaneous endoscopic approach"							
0RGA4AJ	"Fusion of thoracolumbar vertebral joint with interbody fusion device, posterior approach, anterior column, percutaneous endoscopic approach"							
0RGA4J0	"Fusion of thoracolumbar vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RGA4JJ	"Fusion of thoracolumbar vertebral joint with synthetic substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0RGA4K0	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0RGA4KJ	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG0070	"Fusion of lumbar vertebral joint with autologous tissue substitute, anterior approach, anterior column, open approach"							
0SG007J	"Fusion of lumbar vertebral joint with autologous tissue substitute, posterior approach, anterior column, open approach"							
0SG00A0	"Fusion of lumbar vertebral joint with interbody fusion device, anterior approach, anterior column, open approach"							
0SG00AJ	"Fusion of lumbar vertebral joint with interbody fusion device, posterior approach, anterior column, open approach"							
0SG00J0	"Fusion of lumbar vertebral joint with synthetic substitute, anterior approach, anterior column, open approach"							
0SG00JJ	"Fusion of lumbar vertebral joint with synthetic substitute, posterior approach, anterior column, open approach"							
0SG00K0	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, open approach"							
0SG00KJ	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, open approach"							
0SG0370	"Fusion of lumbar vertebral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0SG037J	"Fusion of lumbar vertebral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0SG03A0	"Fusion of lumbar vertebral joint with interbody fusion device, anterior approach, anterior column, percutaneous approach"							
0SG03AJ	"Fusion of lumbar vertebral joint with interbody fusion device, posterior approach, anterior column, percutaneous approach"							
0SG03J0	"Fusion of lumbar vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous approach"							
0SG03JJ	"Fusion of lumbar vertebral joint with synthetic substitute, posterior approach, anterior column, percutaneous approach"							
0SG03K0	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0SG03KJ	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0SG0470	"Fusion of lumbar vertebral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG047J	"Fusion of lumbar vertebral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG04A0	"Fusion of lumbar vertebral joint with interbody fusion device, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG04AJ	"Fusion of lumbar vertebral joint with interbody fusion device, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG04J0	"Fusion of lumbar vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG04JJ	"Fusion of lumbar vertebral joint with synthetic substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG04K0	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG04KJ	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG3070	"Fusion of lumbosacral joint with autologous tissue substitute, anterior approach, anterior column, open approach"							
0SG307J	"Fusion of lumbosacral joint with autologous tissue substitute, posterior approach, anterior column, open approach"							
0SG30A0	"Fusion of lumbosacral joint with interbody fusion device, anterior approach, anterior column, open approach"							
0SG30AJ	"Fusion of lumbosacral joint with interbody fusion device, posterior approach, anterior column, open approach"							
0SG30J0	"Fusion of lumbosacral joint with synthetic substitute, anterior approach, anterior column, open approach"							
0SG30JJ	"Fusion of lumbosacral joint with synthetic substitute, posterior approach, anterior column, open approach"							
0SG30K0	"Fusion of lumbosacral joint with nonautologous tissue substitute, anterior approach, anterior column, open approach"							
0SG30KJ	"Fusion of lumbosacral joint with nonautologous tissue substitute, posterior approach, anterior column, open approach"							
0SG3370	"Fusion of lumbosacral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0SG337J	"Fusion of lumbosacral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0SG33A0	"Fusion of lumbosacral joint with interbody fusion device, anterior approach, anterior column, percutaneous approach"							
0SG33AJ	"Fusion of lumbosacral joint with interbody fusion device, posterior approach, anterior column, percutaneous approach"							
0SG33J0	"Fusion of lumbosacral joint with synthetic substitute, anterior approach, anterior column, percutaneous approach"							
0SG33JJ	"Fusion of lumbosacral joint with synthetic substitute, posterior approach, anterior column, percutaneous approach"							
0SG33K0	"Fusion of lumbosacral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous approach"							
0SG33KJ	"Fusion of lumbosacral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous approach"							
0SG3470	"Fusion of lumbosacral joint with autologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG347J	"Fusion of lumbosacral joint with autologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG34A0	"Fusion of lumbosacral joint with interbody fusion device, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG34AJ	"Fusion of lumbosacral joint with interbody fusion device, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG34J0	"Fusion of lumbosacral joint with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG34JJ	"Fusion of lumbosacral joint with synthetic substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
0SG34K0	"Fusion of lumbosacral joint with nonautologous tissue substitute, anterior approach, anterior column, percutaneous endoscopic approach"							
0SG34KJ	"Fusion of lumbosacral joint with nonautologous tissue substitute, posterior approach, anterior column, percutaneous endoscopic approach"							
XRGA0R7	"Fusion of thoracolumbar vertebral joint using custom-made anatomically designed interbody fusion device, open approach, new technology group 7"							
XRGA3R7	"Fusion of thoracolumbar vertebral joint using custom-made anatomically designed interbody fusion device, percutaneous approach, new technology group 7"							
XRGA4R7	"Fusion of thoracolumbar vertebral joint using custom-made anatomically designed interbody fusion device, percutaneous endoscopic approach, new technology group 7"							
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"							
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"							
								
Multiple Level Spinal Fusion Logic List 4 - Any 2 or more single level posterior fusions 								
Single Level Posterior Fusion Logic List 								
ICD-10-PCS Procedure Code	Description							
0RG6071	"Fusion of thoracic vertebral joint with autologous tissue substitute, posterior approach, posterior column, open approach"							
0RG60J1	"Fusion of thoracic vertebral joint with synthetic substitute, posterior approach, posterior column, open approach"							
0RG60K1	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, open approach"							
0RG6371	"Fusion of thoracic vertebral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0RG63J1	"Fusion of thoracic vertebral joint with synthetic substitute, posterior approach, posterior column, percutaneous approach"							
0RG63K1	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0RG6471	"Fusion of thoracic vertebral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RG64J1	"Fusion of thoracic vertebral joint with synthetic substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RG64K1	"Fusion of thoracic vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RGA071	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, posterior approach, posterior column, open approach"							
0RGA0J1	"Fusion of thoracolumbar vertebral joint with synthetic substitute, posterior approach, posterior column, open approach"							
0RGA0K1	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, open approach"							
0RGA371	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0RGA3J1	"Fusion of thoracolumbar vertebral joint with synthetic substitute, posterior approach, posterior column, percutaneous approach"							
0RGA3K1	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0RGA471	"Fusion of thoracolumbar vertebral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RGA4J1	"Fusion of thoracolumbar vertebral joint with synthetic substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0RGA4K1	"Fusion of thoracolumbar vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG0071	"Fusion of lumbar vertebral joint with autologous tissue substitute, posterior approach, posterior column, open approach"							
0SG00J1	"Fusion of lumbar vertebral joint with synthetic substitute, posterior approach, posterior column, open approach"							
0SG00K1	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, open approach"							
0SG0371	"Fusion of lumbar vertebral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0SG03J1	"Fusion of lumbar vertebral joint with synthetic substitute, posterior approach, posterior column, percutaneous approach"							
0SG03K1	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0SG0471	"Fusion of lumbar vertebral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG04J1	"Fusion of lumbar vertebral joint with synthetic substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG04K1	"Fusion of lumbar vertebral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG3071	"Fusion of lumbosacral joint with autologous tissue substitute, posterior approach, posterior column, open approach"							
0SG30J1	"Fusion of lumbosacral joint with synthetic substitute, posterior approach, posterior column, open approach"							
0SG30K1	"Fusion of lumbosacral joint with nonautologous tissue substitute, posterior approach, posterior column, open approach"							
0SG3371	"Fusion of lumbosacral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0SG33J1	"Fusion of lumbosacral joint with synthetic substitute, posterior approach, posterior column, percutaneous approach"							
0SG33K1	"Fusion of lumbosacral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous approach"							
0SG3471	"Fusion of lumbosacral joint with autologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG34J1	"Fusion of lumbosacral joint with synthetic substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG34K1	"Fusion of lumbosacral joint with nonautologous tissue substitute, posterior approach, posterior column, percutaneous endoscopic approach"							
0SG504Z	"Fusion of sacrococcygeal joint with internal fixation device, open approach"							
0SG507Z	"Fusion of sacrococcygeal joint with autologous tissue substitute, open approach"							
0SG50JZ	"Fusion of sacrococcygeal joint with synthetic substitute, open approach"							
0SG50KZ	"Fusion of sacrococcygeal joint with nonautologous tissue substitute, open approach"							
0SG534Z	"Fusion of sacrococcygeal joint with internal fixation device, percutaneous approach"							
0SG537Z	"Fusion of sacrococcygeal joint with autologous tissue substitute, percutaneous approach"							
0SG53JZ	"Fusion of sacrococcygeal joint with synthetic substitute, percutaneous approach"							
0SG53KZ	"Fusion of sacrococcygeal joint with nonautologous tissue substitute, percutaneous approach"							
0SG544Z	"Fusion of sacrococcygeal joint with internal fixation device, percutaneous endoscopic approach"							
0SG547Z	"Fusion of sacrococcygeal joint with autologous tissue substitute, percutaneous endoscopic approach"							
0SG54JZ	"Fusion of sacrococcygeal joint with synthetic substitute, percutaneous endoscopic approach"							
0SG54KZ	"Fusion of sacrococcygeal joint with nonautologous tissue substitute, percutaneous endoscopic approach"							
0SG604Z	"Fusion of coccygeal joint with internal fixation device, open approach"							
0SG607Z	"Fusion of coccygeal joint with autologous tissue substitute, open approach"							
0SG60JZ	"Fusion of coccygeal joint with synthetic substitute, open approach"							
0SG60KZ	"Fusion of coccygeal joint with nonautologous tissue substitute, open approach"							
0SG634Z	"Fusion of coccygeal joint with internal fixation device, percutaneous approach"							
0SG637Z	"Fusion of coccygeal joint with autologous tissue substitute, percutaneous approach"							
0SG63JZ	"Fusion of coccygeal joint with synthetic substitute, percutaneous approach"							
0SG63KZ	"Fusion of coccygeal joint with nonautologous tissue substitute, percutaneous approach"							
0SG644Z	"Fusion of coccygeal joint with internal fixation device, percutaneous endoscopic approach"							
0SG647Z	"Fusion of coccygeal joint with autologous tissue substitute, percutaneous endoscopic approach"							
0SG64JZ	"Fusion of coccygeal joint with synthetic substitute, percutaneous endoscopic approach"							
0SG64KZ	"Fusion of coccygeal joint with nonautologous tissue substitute, percutaneous endoscopic approach"							
0SG704Z 	"Fusion of right sacroiliac joint with internal fixation device, open approach"							
0SG707Z	"Fusion of right sacroiliac joint with autologous tissue substitute, open approach"							
0SG70JZ	"Fusion of right sacroiliac joint with synthetic substitute, open approach"							
0SG70KZ	"Fusion of right sacroiliac joint with nonautologous tissue substitute, open approach"							
0SG734Z	"Fusion of right sacroiliac joint with internal fixation device, percutaneous approach"							
0SG737Z	"Fusion of right sacroiliac joint with autologous tissue substitute, percutaneous approach"							
0SG73JZ	"Fusion of right sacroiliac joint with synthetic substitute, percutaneous approach"							
0SG73KZ	"Fusion of right sacroiliac joint with nonautologous tissue substitute, percutaneous approach"							
0SG744Z	"Fusion of right sacroiliac joint with internal fixation device, percutaneous endoscopic approach"							
0SG747Z	"Fusion of right sacroiliac joint with autologous tissue substitute, percutaneous endoscopic approach"							
0SG74JZ	"Fusion of right sacroiliac joint with synthetic substitute, percutaneous endoscopic approach"							
0SG74KZ	"Fusion of right sacroiliac joint with nonautologous tissue substitute, percutaneous endoscopic approach"							
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"							
0SG84JZ	"Fusion of left sacroiliac joint with synthetic substitute, percutaneous endoscopic approach"							
0SG84KZ	"Fusion of left sacroiliac joint with nonautologous tissue substitute, percutaneous endoscopic approach"							
XRGA0EA 	"Fusion of thoracolumbar vertebral joint using facet joint fusion device, paired titanium cages, open approach, new technology group 10"							
XRGB0EA 	"Fusion of lumbar vertebral joint using facet joint fusion device, paired titanium cages, open approach, new technology group 10"							
XRGD0EA 	"Fusion of lumbosacral joint using facet joint fusion device, paired titanium cages, open approach, new technology group 10"							
XRGE058	"Fusion of right sacroiliac joint using internal fixation device with tulip connector, open approach, new technology group 8"							
XRGE358	"Fusion of right sacroiliac joint using internal fixation device with tulip connector, percutaneous approach, new technology group 8"							
XRGF058	"Fusion of left sacroiliac joint using internal fixation device with tulip connector, open approach, new technology group 8"							
XRGF358	"Fusion of left sacroiliac joint using internal fixation device with tulip connector, percutaneous approach, new technology group 8"							
								
Custom-Made Anatomically Designed Interbody Fusion Logic List 5 - Single level and multiple level fusion using a custom-made anatomically designed interbody fusion device 								
Single Level Custom-Made Anatomically Designed Interbody Fusion Device Logic List 								
ICD-10-PCS Procedure Code	Description							
XRGA0R7	"Fusion of thoracolumbar vertebral joint using custom-made anatomically designed interbody fusion device, open approach, new technology group 7"							
XRGA3R7	"Fusion of thoracolumbar vertebral joint using custom-made anatomically designed interbody fusion device, percutaneous approach, new technology group 7"							
XRGA4R7	"Fusion of thoracolumbar vertebral joint using custom-made anatomically designed interbody fusion device, percutaneous endoscopic approach, new technology group 7"							
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"							
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"							
								
Multiple Level Custom-Made Anatomically Designed Interbody Fusion Device Logic List 								
ICD-10-PCS Procedure Code	Description							
XRGC0R7	"Fusion of 2 or more lumbar vertebral joints using custom-made anatomically designed interbody fusion device, open approach, new technology group 7"							
XRGC3R7	"Fusion of 2 or more lumbar vertebral joints using custom-made anatomically designed interbody fusion device, percutaneous approach, new technology group 7"							
XRGC4R7	"Fusion of 2 or more lumbar vertebral joints using custom-made anatomically designed interbody fusion device, percutaneous endoscopic approach, new technology group 7"							
