2027 ICD-10-CM Diagnosis Code Z93Artificial opening status

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z93

ICD-10-CM Z93
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z93 is a non-billable ICD-10-CM category code for artificial opening status, so it cannot be submitted on claims. Use a more specific code from this category instead, such as Z93.0, Z93.1, Z93.2, and Z93.3.

Code Identity

ICD-10-CM Code
Z93
Billable Status
No — Non-Billable Category
Code Describes
Artificial opening status
Short Description
Artificial opening status
Same as the full description in the CMS dataset.
Chapter
Z77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ93Artificial opening status
This CodeZ93Artificial opening status

Specific Coding for Artificial opening statusOverview

Non-specific codes like Z93 require more characters. Use one of these billable codes instead:

  • Use Z93.0 for Tracheostomy status

  • Use Z93.1 for Gastrostomy status

  • Use Z93.2 for Ileostomy status

  • Use Z93.3 for Colostomy status

  • Use Z93.4 for Other artificial openings of gastrointestinal tract status

  • Z93.5 for Cystostomy status

  • Use Z93.50 for Unspecified cystostomy status

  • Use Z93.51 for Cutaneous-vesicostomy status

  • Use Z93.52 for Appendico-vesicostomy status

  • Use Z93.59 for Other cystostomy status

  • Use Z93.6 for Other artificial openings of urinary tract status

  • Use Z93.8 for Other artificial opening status

  • Use Z93.9 for Artificial opening status, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z93: its own notes plus those printed at block Z77-Z99 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • artificial openings requiring attention or management (Z43.-)
  • complications of external stoma (J95.0-, K94.-, N99.5-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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 Z93, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming Z93: 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 classified
    artificial opening status (Z93.-)
  • Z43.1 Encounter for attention to gastrostomy
    artificial opening status only, without need for care (Z93.-)

Use Additional Code 1

These codes say to use an additional code from the note, and Z93 is one of the codes named.

  • L24.B Irritant contact dermatitis related to stoma or fistula
    code to identify any artificial opening status (Z93.-), if applicable, for contact dermatitis related to stoma secretions

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

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z93Overview

What is the ICD-10 code for artificial opening status?

Z93 is the ICD-10-CM category for artificial opening status, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is Z93 (Artificial opening status) a billable code?

No. This is a category header that groups the codes for artificial opening status, and headers cannot be submitted on claims. Claims for artificial opening status need a more specific code from this category, such as Z93.0, Z93.1, and Z93.2.

Can Z93 be reported with a code from Z43?

Not as a rule. The Excludes1 note on Z93 lists "artificial openings requiring attention or management (Z43.-)". 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).