Z43 Encounter for attention to artificial openings

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Encounter for attention to artificial openings is Z43 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
Z40-Z53: Encounters for other specific health care (Z40-Z53)
Category Z43
11 codes (10 billable)
FY2026 Status
Stable since FY2024
Includes
  • 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
Excludes1
Not coded here. These conditions should NOT be coded together with Z43.
  • complications of external stoma (J95.0-, K94.-, N99.5-)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • fitting and adjustment of prosthetic and other devices (Z44-Z46)

Official Coding Guidelines

Aftercare: Z code categories generally used for aftercare

The aftercare codes are generally found in the following categories: Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury Z43 Encounter for attention to artificial openings Z44 Encounter for fitting and adjustment of external prosthetic device Z45 Encounter for adjustment and management of implanted device Z46 Encounter for fitting and adjustment of other devices Z47 Orthopedic aftercare Z48 Encounter for other postprocedural aftercare Z49 Encounter for care involving renal dialysis Z51 Encounter for other aftercare and medical care

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.B.7
Used with any code in range A00.0-T88.9, Z00-Z99

1) Used with any code in the range of A00.0-T88.9, Z00-Z99 An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.20.a.1

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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