DRG 453, 454 and 455 - Combined Anterior/Posterior Spinal Fusion
Published 07/02/2019
DRG 453 — Combined Anterior/Posterior Spinal Fusion with MCC
DRG 454 — Combined Anterior/Posterior Spinal Fusion with CC
DRG 455 — Combined Anterior/Posterior Spinal Fusion without CC/MCC
Each of Medicare Severity Diagnosis Related Group (MS-DRG) is defined by a particular set of patient attributes which include principal diagnosis, specific secondary diagnoses, procedures, sex and discharge status.
The logic for MS-DRGs 453, 454 and 455 comprises two lists: An anterior spinal fusion list and a posterior spinal fusion list. Assignment to one of the combined spinal fusion MS-DRGs requires that a code from each list be reported. The ICD-10-PCS procedure codes are shown in the table below.
| ICD-10-PCS Anterior Spinal Fusion List | |
|---|---|
| XRG1092 | Fusion of cervical vertebral joint using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRG2092 | Fusion of 2 or more cervical vertebral joints using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRG4092 | Fusion of cervicothoracic vertebral joint using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| ICD-10-PCS Posterior Spinal Fusion List | |
|---|---|
| XRG6092 | Fusion of thoracic vertebral joint using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRG7092 | Fusion of 2 to 7 thoracic vertebral joints using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRG8092 | Fusion of 8 or more thoracic vertebral joints using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRGA092 | Fusion of thoracolumbar vertebral joint using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRGB092 | Fusion of lumbar vertebral joint using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRGC092 | Fusion of 2 or more lumbar vertebral joints using nanotextured surface interbody fusion device, open approach, new technology group 2 |
| XRGD092 | Fusion of lumbosacral joint using nanotextured surface interbody fusion device, open approach, new technology group 2 |
Reference: Final Rule at the Federal Register