4A1ZXQZMonitoring of Sleep, External Approach

  • Billable / Specific Code
ICD-10-PCS 4A1ZXQZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

4A1ZXQZ is a billable ICD-10-PCS procedure code for Monitoring of Sleep, External Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027). The root operation Monitoring involves determining the level of a physiological or physical function repetitively over a period of time. The Alphabetic Index lists this code under Polysomnogram. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Measurement and monitoring, NEC.

Code Identity

ICD-10-PCS Code
4A1ZXQZ
Billable Status
Yes — Valid for Submission
Code Describes
Monitoring of Sleep, External Approach
Short Description
Monitoring of Sleep, 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
3Operation1Monitoring
4BodySystemZNone
5ApproachXExternal
6Function/DeviceQSleep
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

The FY 2027 ICD-10-PCS Alphabetic Index refers to 4A1ZXQZ as Polysomnogram. These index entries lead to this code:

Direct entry for this code
Monitoring, Sleep
Direct entry for this code
Monitoring, Temperature
Leads to this code's table
Testing, Neurophysiologic monitoring, intra-operative
Leads to this code's table
Angiocardiography, SPY system intravascular fluorescence
Leads to this code's table
Assessment, Intravascular perfusion, using indocyanine green (ICG) dye
Leads to this code's table

To code polysomnogram, open the FY 2027 ICD-10-PCS Alphabetic Index at Polysomnogram. The entry lists 4A1ZXQZ directly as a complete, billable code.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MAM015
Measurement and monitoring, NEC
Clinical domain: Measurement and Monitoring

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

89.17
Polysomnogram
Approximate match.

Similar Procedure Codes

Questions About 4A1ZXQZ

Is 4A1ZXQZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Monitoring of Sleep, External Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What is the ICD-10-PCS code for polysomnogram?

The ICD-10-PCS Alphabetic Index lists Polysomnogram under code 4A1ZXQZ, Monitoring of Sleep, External Approach, billable on inpatient claims in fiscal year 2027.

What do the characters in 4A1ZXQZ 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 1 is the Operation (Monitoring); the 4th character Z is the BodySystem (None); the 5th character X is the Approach (External); the 6th character Q is the Function/Device (Sleep); the 7th character Z is the Qualifier (No Qualifier).

What is the ICD-9-PCS equivalent of 4A1ZXQZ?

Under the General Equivalence Mappings, Monitoring of Sleep, External Approach crosswalks to ICD-9-PCS 89.17 (Polysomnogram). The mapping is approximate, so confirm it fits the documentation.