2026 ICD-10-CM Diagnosis Code Z93.4Other artificial openings of gastrointestinal tract status

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z93

ICD-10-CM Z93.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z93.4 is a billable ICD-10-CM diagnosis code for other artificial openings of gastrointestinal tract status. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as history of intubation of gastrointestinal tract via jejunostomy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z93.4
Billable Status
Yes — Valid for Submission
Code Describes
Other artificial openings of gastrointestinal tract status
Short Description
Other artificial openings of gastrointestinal tract status
Same as the full description in the CMS dataset.
Parent Code
Z93
Artificial opening 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 CodeZ93.4Other artificial openings of gastrointestinal tract status

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z93.4.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z93.4 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • History of intubation of gastrointestinal tract via jejunostomy
  • Jejunostomy present

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Artificial
      • opening status (functioning) (without complication)
        • enterostomy
    • Artificial
      • opening status (functioning) (without complication)
        • intestinal tract NEC
    • Artificial
      • opening status (functioning) (without complication)
        • jejunostomy
    • Enterostomy
      • status
    • Jejunostomy status
    • Status(post)
      • artificial opening (of)
        • gastrointestinal tract
    • Status(post)
      • enterostomy
    • Status(post)
      • jejunostomy

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC025
Other specified status
Default principal diagnosis: inpatient No · outpatient Yes

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.

Convert Z93.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V44.4 Enterostomy status NEC
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z93.4Overview

Is Z93.4 (Artificial opening status) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other artificial openings of gastrointestinal tract status on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z93.4 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because other artificial openings of gastrointestinal tract status describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z93.4 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 other artificial openings of gastrointestinal tract status on inpatient claims.

What is the ICD-9 equivalent of Z93.4?

Under the General Equivalence Mappings, other artificial openings of gastrointestinal tract status converts to ICD-9-CM V44.4 (enterostomy status NEC). The mapping is a direct match.