ICD-10-PCS Procedure code 0SG04AJ

Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach

0SG04AJ Clinical Detail

Procedure Class Major Therapeutic Procedure

0SG04AJ ICD-10-PCS Digit Breakdown

Position Designation Character Label
1 Section

0

Medical and Surgical
2 Body System

S

Lower Joints
3 Operation

G

Fusion
4 Body Part

0

Lumbar Vertebral Joint
5 Approach

4

Percutaneous Endoscopic
6 Device

A

Interbody Fusion Device
7 Qualifier

J

Posterior Approach, Anterior Column

DRG Mapping Rules for 0SG04AJ

To determine how a PCS code will affect MS-DRG grouping, you must first look at the patient's primary diagnostic code. The patient will be grouped into the first MDC that lists the primary diagnostic code in the "Assignment of Diagnosis Codes" section.

From there, check the subsections of the MDC. The patient will be mapped into the first subsection for which the treatment performed on the patient meets the listed requirements of that subsection. It most cases, the rules are based based on the PCS codes of the services performed. Sometimes multiple PCS codes are required to qualify.

DRG grouping rules are adjusted each year, so make sure to check the rules for the fiscal year of the patient's discharge date.

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