2027 ICD-10-CM Diagnosis Code Z43.7Encounter for attention to artificial vagina
Z43.7 is a billable ICD-10-CM diagnosis code for encounter for attention to artificial vagina. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other aftercare encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
Z43.7 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Encounters for other specific health care (Z40-Z53).
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z43.7: its own notes plus those printed at Z43, block Z40-Z53, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- 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: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- 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.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z43.7, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming Z43.7: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 2
These codes carry an Excludes2 note naming Z43.7: its condition is not part of those codes, and both may be reported when the patient has both.
- Block T80-T88 Complications of surgical and medical care, not elsewhere classifiedclosure of external stoma (Z43.-) names Z43.-, which includes this code
- Z48 Encounter for other postprocedural aftercareencounter for attention to artificial openings (Z43.-) names Z43.-, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Admission (for) See Also: Encounter (for);
vagina Z43.7
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert Z43.7 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z43.7Overview
What is the ICD-10 code for encounter for attention to artificial vagina?
The ICD-10-CM code for encounter for attention to artificial vagina is Z43.7 (sometimes written as Z437). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z43.7 (Encounter for attention to artificial openings) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for attention to artificial vagina on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z43.7 group to?
When encounter for attention to artificial vagina is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Z43.7 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for attention to artificial vagina on inpatient claims. The code appears in the Encounters for other specific health care (Z40-Z53) range of the CMS exempt list.
Can Z43.7 be reported with a code from J95.0?
Not as a rule. The Excludes1 note at Z43, which applies to Z43.7, lists "complications of external stoma (J95.0-, K94.-, N99.5-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
