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ICD-10-PCS 2027 procedure code

4A12X45Monitoring of Cardiac Electrical Activity, Ambulatory, External Approach

✓ Valid for 2027

Short description: Monitor Cardiac Electr Activity, Ambulatory, Extern

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 4A12X45

4A12X45 is the ICD-10-PCS code for a monitoring procedure on the cardiac using an external approach with electrical activity (qualifier: ambulatory). In ICD-10-PCS, monitoring means determining the level of a physiological or physical function repetitively over a period of time.

In plain terms, this corresponds to ambulatory cardiac monitoring, the ICD-9-CM procedure title it maps to (89.50).

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
1Monitoring

Determining the level of a physiological or physical function repetitively over a period of time

4. Body System
2Cardiac
5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Function / Device
4Electrical Activity
7. Qualifier
5Ambulatory

Other versions of this procedure

Different qualifier

ICD-9-CM equivalent

Converter →
  • 89.50Ambulatory cardiac monitoringexact

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 4A12X45

Is 4A12X45 a valid ICD-10-PCS code for 2027?

Yes. 4A12X45 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 4A12X45?

The CMS GEMs map 4A12X45 to ICD-9-CM 89.50 (Ambulatory cardiac monitoring).