Skip to content
Dx

ICD-10-PCS 2027 procedure code

4A0004ZMeasurement of Central Nervous Electrical Activity, Open Approach

✓ Valid for 2027

Short description: Measurement of CNS Electr Activity, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 4A0004Z

4A0004Z is the ICD-10-PCS code for a measurement procedure on the central nervous using an open approach with electrical activity. In ICD-10-PCS, measurement means determining the level of a physiological or physical function at a point in time.

In plain terms, this corresponds to electroencephalogram, the ICD-9-CM procedure title it maps to (89.14).

For a different body part, codes include 4A0104Z (peripheral nervous) and 4A0204Z (cardiac).

The same procedure with a different approach is coded 4A0034Z (percutaneous), 4A0074Z (via natural or artificial opening), 4A0084Z (via natural or artificial opening endoscopic) and 4A00X4Z (external).

With a different device, use 4A0002Z (conductivity) and 4A000BZ (pressure).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
4Measurement and Monitoring
2. Body System
APhysiological Systems
3. Operation
0Measurement

Determining the level of a physiological or physical function at a point in time

4. Body System
0Central Nervous
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Function / Device
4Electrical Activity
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different function / device

ICD-9-CM equivalent

Converter →
  • 89.14Electroencephalogramapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 4A0004Z

Is 4A0004Z a valid ICD-10-PCS code for 2027?

Yes. 4A0004Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 4A0004Z?

The CMS GEMs map 4A0004Z to ICD-9-CM 89.14 (Electroencephalogram).