Z43

Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description

Encounter for attention to artificial openings

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Z40-Z53 Parent Instructions

Includes
  • 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
Excludes2(Not included here. Code separately if applicable.)
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Instructional Notes

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
Excludes1(Not coded here. Use a different code.)
Excludes2(Not included here. Code separately if applicable.)
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)
Z43Encounter for attention to artificial openingsNot billable
Z43.0Encounter for attention to tracheostomyBillable
Z43.1Encounter for attention to gastrostomyBillable
Z43.2Encounter for attention to ileostomyBillable
Z43.3Encounter for attention to colostomyBillable
Z43.4Encounter for attention to other artificial openings of digestive tractBillable
Z43.5Encounter for attention to cystostomyBillable
Z43.6Encounter for attention to other artificial openings of urinary tractBillable
Z43.7Encounter for attention to artificial vaginaBillable
Z43.8Encounter for attention to other artificial openingsBillable
Z43.9Encounter for attention to unspecified artificial openingBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z43:

blockZ40-Z53
Encounters for other specific health care (Z40-Z53)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

Find Procedures (ICD-10-PCS)

Find surgical and procedural codes related to Encounter for attention to artificial openings.

Search PCS Codes