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ICD-10-PCS 2027 procedure code

4A023FZMeasurement of Cardiac Rhythm, Percutaneous Approach

✓ Valid for 2027Non-O.R. procedure

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 4A023FZ

4A023FZ is the ICD-10-PCS code for a measurement procedure on the cardiac using a percutaneous approach with rhythm. 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 catheter based invasive electrophysiologic testing and other nonoperative cardiac and vascular measurements, the ICD-9-CM procedure titles it maps to (37.26 and 89.59).

The same procedure with a different approach is coded 4A020FZ (open), 4A027FZ (via natural or artificial opening), 4A028FZ (via natural or artificial opening endoscopic) and 4A02XFZ (external).

With a different device, use 4A0234Z (electrical activity), 4A0239Z (output), 4A023CZ (rate), 4A023HZ (sound) and 4A023PZ (action currents).

It is a non-O.R. procedure that is part of the MS-DRG logic for DRG 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC), DRG 217 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC), DRG 218 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC), DRG 273 (Percutaneous and Other Intracardiac Procedures with MCC) and DRG 274 (Percutaneous and Other Intracardiac Procedures without MCC), under the surgical categories “Concomitant Aortic and Mitral Valve Procedures”, “” and “Percutaneous and Other Intracardiac Procedures”.

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
2Cardiac
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Function / Device
FRhythm
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 05 · Diseases and Disorders of the Circulatory System · Concomitant Aortic and Mitral Valve Procedures

MDC 05 · Diseases and Disorders of the Circulatory System · Percutaneous and Other Intracardiac Procedures

ICD-9-CM equivalent

Converter →
  • 37.26Catheter based invasive electrophysiologic testingapproximate
  • 89.59Other nonoperative cardiac and vascular measurementsapproximate

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 4A023FZ

Is 4A023FZ a valid ICD-10-PCS code for 2027?

Yes. 4A023FZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 4A023FZ an O.R. procedure?

No. 4A023FZ is designated non-O.R. in MS-DRG v44.0.

What DRG does 4A023FZ group to?

Depending on the principal diagnosis, 4A023FZ can group to MS-DRG 212, MS-DRG 216, MS-DRG 217, MS-DRG 218, MS-DRG 273 and MS-DRG 274.

What is the ICD-9 procedure code for 4A023FZ?

The CMS GEMs map 4A023FZ to ICD-9-CM 37.26 (Catheter based invasive electrophysiologic testing) and 89.59 (Other nonoperative cardiac and vascular measurements).