2026 ICD-10-CM Diagnosis Code Z43Encounter for attention to artificial openings
Z43 is a non-billable ICD-10-CM category code for encounter for attention to artificial openings, so it cannot be submitted on claims. Use a more specific code from this category instead, such as Z43.0, Z43.1, Z43.2, and Z43.3.
Code Identity
Code Classification
Specific Coding for Encounter for attention to artificial openingsOverview
Non-specific codes like Z43 require more characters. Use one of these billable codes instead:
Use Z43.0 for Encounter for attention to tracheostomy
Use Z43.1 for Encounter for attention to gastrostomy
Use Z43.2 for Encounter for attention to ileostomy
Use Z43.3 for Encounter for attention to colostomy
Use Z43.4 for Encounter for attention to other artificial openings of digestive tract
Use Z43.5 for Encounter for attention to cystostomy
Use Z43.6 for Encounter for attention to other artificial openings of urinary tract
Use Z43.7 for Encounter for attention to artificial vagina
Use Z43.8 for Encounter for attention to other artificial openings
Use Z43.9 for Encounter for attention to unspecified artificial opening
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
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
Type 1 Excludes
Type 2 Excludes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Patient EducationClinical
Ostomy
An ostomy is surgery to create an opening (stoma) from an area inside the body to the outside. It treats certain diseases of the digestive or urinary systems. It can be permanent, when an organ must be removed. It can be temporary, when the organ needs time to heal. The organ could be the small intestine, colon, rectum, or bladder.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About Z43Overview
Is Z43 (Encounter for attention to artificial openings) a billable code?
No. This is a category header that groups the codes for encounter for attention to artificial openings, and headers cannot be submitted on claims. Claims for encounter for attention to artificial openings need a more specific code from this category, such as Z43.0, Z43.1, and Z43.2.
