Z43UpcomingCategory · further specificity required

Encounter for attention to artificial openings

Code-level instructions

Excludes 1

complications of external stoma (J95.0-, K94.-, N99.5-)

Excludes 2 · 2

Z43

Excludes 2

fitting and adjustment of prosthetic and other devices (Z44-Z46)

Z40-Z53 · Encounters for other specific health care (Z40-Z53)

Excludes 2

follow-up examination for medical surveillance after treatment (Z08-Z09)

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2018

ChangedUnchanged

FY2018

Effective from 2017-10-01

Code-level rules changed

Encounter for attention to artificial openings

Category — select a more specific code

CDC/NCHS · FY2018

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	Code-level rules changed
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Includes

closure of artificial openings
passage of sounds or bougies through artificial openings
reforming artificial openings
removal of catheter from artificial openings
toilet or cleansing of artificial openings

Excludes 1

complications of external stoma (J95.0-, K94.-, N99.5-)

Excludes 2

fitting and adjustment of prosthetic and other devices (Z44-Z46)

Inherited instructions

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Z40-Z53 · Encounters for other specific health care (Z40-Z53)

Inclusion terms

Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

Excludes 2

follow-up examination for medical surveillance after treatment (Z08-Z09)

More specific codes

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (6)

Z08 · Encounter for follow-up examination after completed treatment for malignant neoplasm

Excludes 1 · aftercare following medical care (Z43-Z49, Z51)

Z09 · Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

Excludes 1 · aftercare following medical care (Z43-Z49, Z51)

Z48 · Encounter for other postprocedural aftercare

Excludes 2 · encounter for attention to artificial openings (Z43.-)

Z93 · Artificial opening status

Excludes 1 · artificial openings requiring attention or management (Z43.-)

Z98 · Other postprocedural states

Excludes 2 · aftercare (Z43-Z49, Z51)

sections/T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes 2 · closure of external stoma (Z43.-)