ICDcodes.org
FY2027

Z43.1 — Encounter for attention to gastrostomy

BillableCC

Is Z43.1 billable?

Yes — Z43.1 is billable for FY2027. Z43.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z43.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z43.1 at a glance

CodeZ43.1
DescriptionEncounter for attention to gastrostomy
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does Z43.1 group to?

Z43.1 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 393Other Digestive System Diagnoses with MCCmedical
  • 394Other Digestive System Diagnoses with CCmedical
  • 395Other Digestive System Diagnoses without CC/MCCmedical

As a secondary diagnosis, Z43.1 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is Z43.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z43.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Attention › gastrostomy (to)
  • Gastrostomy › attention to
  • Admission › attention to artificial opening › gastrostomy (for)
  • Attention › artificial › opening › digestive tract NEC › stomach (to)

Excludes2 — not included here

The conditions below are not part of Z43.1, but a patient may have both at the same time. When documentation supports it, Z43.1 and the excluded code may both be reported.

  • artificial opening status only, without need for care (Z93.-)

Excludes1 — never code together — inherited from Z43

The conditions below can never be reported together with Z43.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Excludes2 — not included here — inherited from Z40-Z53

The conditions below are not part of Z43.1, but a patient may have both at the same time. When documentation supports it, Z43.1 and the excluded code may both be reported.

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

Excludes2 — not included here — inherited from Z43

The conditions below are not part of Z43.1, but a patient may have both at the same time. When documentation supports it, Z43.1 and the excluded code may both be reported.

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

How long has Z43.1 existed?

Z43.1 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.

What other codes are in the Z43 family? (9)