Z43 — Encounter for attention to artificial openings

Not billable

Is Z43 billable?

No — Z43 is a non-billable header code. Z43 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 10 billable codes beneath Z43.

Billable codes under this header

Z43 at a glance

Code	Z43
Description	Encounter for attention to artificial openings
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with Z43 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

complications of external stoma (J95.0-, K94.-, N99.5-)

Excludes2 — not included here

The conditions below are not part of Z43, but a patient may have both at the same time. When documentation supports it, Z43 and the excluded code may both be reported.

fitting and adjustment of prosthetic and other devices (Z44-Z46)

Includes

Conditions classified to Z43.

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

Excludes2 — not included here — inherited from Z40-Z53

The conditions below are not part of Z43, but a patient may have both at the same time. When documentation supports it, Z43 and the excluded code may both be reported.

follow-up examination for medical surveillance after treatment (Z08-Z09)

What codes fall under Z43? (10)

How long has Z43 existed?

Z43 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.