4A09X5ZMeasurement of Respiratory Flow, External Approach

  • Billable / Specific Code
ICD-10-PCS 4A09X5Z
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

4A09X5Z is a billable ICD-10-PCS procedure code for Measurement of Respiratory Flow, External Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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 Pulmonary function tests.

Code Identity

ICD-10-PCS Code
4A09X5Z
Billable Status
Yes — Valid for Submission
Code Describes
Measurement of Respiratory Flow, External Approach
Short Description
Measurement of Respiratory Flow, External Approach
Same as the full description in the CMS dataset.
Parent Code

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.

PositionDesignationValueMeaning
1Section4Measurement and Monitoring
2Body SystemAPhysiological Systems
3Operation0Measurement
4BodySystem9Respiratory
5ApproachXExternal
6Function/Device5Flow
7QualifierZNo Qualifier

Clinical Classification (CCSR)

AHRQ groups 4A09X5Z into these clinical categories.

MAM014
Pulmonary function tests
Clinical domain: Measurement and Monitoring

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 4A09X5Z under the General Equivalence Mappings.

89.38
Approximate match.

Similar Procedure Codes

Questions About 4A09X5Z

Is 4A09X5Z a billable code?

Yes. 4A09X5Z is a complete seven-character ICD-10-PCS code, specific enough to report Measurement of Respiratory Flow, External Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 4A09X5Z mean?

4A09X5Z 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 9 is the BodySystem (Respiratory); the 5th character X is the Approach (External); the 6th character 5 is the Function/Device (Flow); the 7th character Z is the Qualifier (No Qualifier).

What is the ICD-9-PCS equivalent of 4A09X5Z?

Under the General Equivalence Mappings, Measurement of Respiratory Flow, External Approach crosswalks to ICD-9-PCS 89.38. The mapping is approximate, so confirm it fits the documentation.