4A020N8Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach
- Billable / Specific Code
4A020N8 is a billable ICD-10-PCS procedure code for Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 9 MS-DRGs. The root operation Measurement involves determining the level of a physiological or physical function at a point in time. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Measurement during cardiac catheterization.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 4 | Measurement and Monitoring |
| 2 | Body System | A | Physiological Systems |
| 3 | Operation | 0 | Measurement |
| 4 | BodySystem | 2 | Cardiac |
| 5 | Approach | 0 | Open |
| 6 | Function/Device | N | Sampling and Pressure |
| 7 | Qualifier | 8 | Bilateral |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code catheterization of the heart, open the FY 2027 ICD-10-PCS Alphabetic Index at Catheterization, then the subterm Heart. The index leads to table 4A0, where the approach, Function/Device and qualifier values shown in the breakdown above complete the seven-character code 4A020N8.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 4A020N8
Is 4A020N8 a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 4A020N8 mean?
The code breaks down character by character: the 1st character 4 is the Section (Measurement and Monitoring); the 2nd character A is the Body System (Physiological Systems); the 3rd character 0 is the Operation (Measurement); the 4th character 2 is the BodySystem (Cardiac); the 5th character 0 is the Approach (Open); the 6th character N is the Function/Device (Sampling and Pressure); the 7th character 8 is the Qualifier (Bilateral).
What MS-DRG does 4A020N8 group to?
On an inpatient stay, Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach maps to MS-DRGs 212, 216, 217, 218, 233, 234, 275, 286, 287, with relative weights from 1.0786 to 11.4416. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 4A020N8?
Under the General Equivalence Mappings, Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach crosswalks to ICD-9-PCS 37.23 (Combined right and left heart cardiac catheterization). The mapping is approximate, so confirm it fits the documentation.
