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Inpatient Procedure Code

4A0004Z ICD-10-PCS Code: Measurement of Central Nervous Electrical Activity, Open Approach

Measurement of CNS Electr Activity, Open Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section4

Measurement and Monitoring

2
Body SystemA

Physiological Systems

3
Root Operation0

Measurement

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

4
Body System0

Central Nervous

5
Approach0

Open

6
Function / Device4

Electrical Activity

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body System

Same table and root operation, differing only in the body system character.

4A0104Z — Measurement of Peripheral Nervous Electrical Activity, Open Approach, 4A0204Z — Measurement of Cardiac Electrical Activity, Open Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

4A0034Z — Measurement of Central Nervous Electrical Activity, Percutaneous Approach, 4A0074Z — Measurement of Central Nervous Electrical Activity, Via Natural or Artificial Opening, 4A0084Z — Measurement of Central Nervous Electrical Activity, Via Natural or Artificial Opening Endoscopic, 4A00X4Z — Measurement of Central Nervous Electrical Activity, External Approach

Same operation — other Function / Device

Same table and root operation, differing only in the function / device character.

4A0002Z — Measurement of Central Nervous Conductivity, Open Approach, 4A000BZ — Measurement of Central Nervous Pressure, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Electroencephalogram (EEG) (Measurement and Monitoring); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

4A1004G — Monitoring of Central Nervous Electrical Activity, Intraoperative, Open Approach, 4A1004Z — Monitoring of Central Nervous Electrical Activity, Open Approach, 4A1034G — Monitoring of Central Nervous Electrical Activity, Intraoperative, Percutaneous Approach, 4A1034Z — Monitoring of Central Nervous Electrical Activity, Percutaneous Approach, 4A1074G — Monitoring of Central Nervous Electrical Activity, Intraoperative, Via Natural or Artificial Opening, 4A1074Z — Monitoring of Central Nervous Electrical Activity, Via Natural or Artificial Opening, 4A1084G — Monitoring of Central Nervous Electrical Activity, Intraoperative, Via Natural or Artificial Opening Endoscopic, 4A1084Z — Monitoring of Central Nervous Electrical Activity, Via Natural or Artificial Opening Endoscopic, 4A10X4G — Monitoring of Central Nervous Electrical Activity, Intraoperative, External Approach, 4A10X4Z — Monitoring of Central Nervous Electrical Activity, External Approach, XX20X89 — Monitoring of Brain Electrical Activity, Computer-aided Detection and Notification, New Technology Group 9, XXE0X48 — Measurement of Brain Electrical Activity, Computer-aided Semiologic Analysis, New Technology Group 8

Contextual Map

Every relationship of 4A0004Z in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

Clinical classification (CCSR)

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels