Artificial opening status (Z93)

The ICD-10 code section Z93 identifies the status of a patient with an artificial opening, such as a stoma or a surgically created opening in the body. These codes describe the presence and type of artificial openings like tracheostomies, gastrostomies, colostomies, and urinary tract openings, which are essential for accurate medical documentation and care management.

This section includes specific codes to represent different artificial openings: Z93.0 for tracheostomy status (commonly referred to as H/O tracheostomy or tracheostomy present), Z93.1 for gastrostomy status (also known as PEG tube or gastrointestinal tube in place), and Z93.3 for colostomy status (including sigmoid colostomy present). Additionally, codes like Z93.5 and its subdivisions cover cystostomy types, while Z93.6 relates to other urinary tract openings such as urostomies or nephrostomies. The unspecified or other artificial opening statuses are captured by Z93.8 and Z93.9. Using these codes properly helps healthcare professionals document a patient’s surgical history clearly and supports targeted treatment plans, including monitoring for complications such as stoma-related skin issues. This makes the ICD-10 code for artificial opening status vital for postprocedural follow-up and reporting.

Instructional Notations

Type 1 Excludes

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.

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