2023

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  5. 2023 ICD-10-CM Diagnosis Code Z43

2023 ICD-10-CM Diagnosis Code Z43

Encounter for attention to artificial openings

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • Z43 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM Z43 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z43 - other international versions of ICD-10 Z43 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z43. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • complications of external stoma (
    ICD-10-CM Diagnosis Code J95.0

    Tracheostomy complications

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    J95.0-
    ,
    ICD-10-CM Diagnosis Code K94
    • K94 Complications of artificial openings of the d...
      • K94.0 Colostomy complications
        • K94.00 Colostomy complication, unspecified
        • K94.01 Colostomy hemorrhage
        • K94.02 Colostomy infection
        • K94.03 Colostomy malfunction
        • K94.09 Other complications of colostomy
      • K94.1 Enterostomy complications
        • K94.10 Enterostomy complication, unspecified
        • K94.11 Enterostomy hemorrhage
        • K94.12 Enterostomy infection
        • K94.13 Enterostomy malfunction
        • K94.19 Other complications of enterostomy
      • K94.2 Gastrostomy complications
        • K94.20 Gastrostomy complication, unspecified
        • K94.21 Gastrostomy hemorrhage
        • K94.22 Gastrostomy infection
        • K94.23 Gastrostomy malfunction
        • K94.29 Other complications of gastrostomy
      • K94.3 Esophagostomy complications
        • K94.30 …… unspecified
        • K94.31 Esophagostomy hemorrhage
        • K94.32 Esophagostomy infection
        • K94.33 Esophagostomy malfunction
        • K94.39 Other complications of esophagostomy
    K94.-
    ,
    ICD-10-CM Diagnosis Code N99.5

    Complications of stoma of urinary tract

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • mechanical complication of urinary catheter (T83.0-)
    N99.5-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z43) and the excluded code together.
  • fitting and adjustment of prosthetic and other devices (
    ICD-10-CM Diagnosis Code Z44

    Encounter for fitting and adjustment of external prosthetic device

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of external prosthetic device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    • presence of prosthetic device (Z97.-)
    Z44
    -
    ICD-10-CM Diagnosis Code Z46

    Encounter for fitting and adjustment of other devices

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of other device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    Type 2 Excludes
    • encounter for fitting and management of implanted devices (Z45.-)
    • issue of repeat prescription only (Z76.0)
    • presence of prosthetic and other devices (Z95-Z97)
    Z46
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • 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
The following code(s) above Z43 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z43:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z40-Z53
    2023 ICD-10-CM Range Z40-Z53

    Encounters for other specific health care

    Applicable To
    • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
    Type 2 Excludes
    • follow-up examination for medical surveillance after treatment (Z08-Z09)
    Encounters for other specific health care
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to Z43:
  • Type 1 Excludes: Z93
    ICD-10-CM Diagnosis Code Z93

    Artificial opening status

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • artificial openings requiring attention or management (Z43.-)
    • complications of external stoma (J95.0-, K94.-, N99.5-)
  • Type 2 Excludes: Z48
    ICD-10-CM Diagnosis Code Z48

    Encounter for other postprocedural aftercare

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • encounter for follow-up examination after completed treatment (Z08-Z09)
    • encounter for aftercare following injury - code to Injury, by site, with appropriate 7th character for subsequent encounter
    Type 2 Excludes
    • encounter for attention to artificial openings (Z43.-)
    • encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)
ICD-10-CM Codes Adjacent To Z43
Z40.9 Encounter for prophylactic surgery, unspecified
Z41 Encounter for procedures for purposes other than remedying health state
Z41.1 Encounter for cosmetic surgery
Z41.2 Encounter for routine and ritual male circumcision
Z41.3 Encounter for ear piercing
Z41.8 Encounter for other procedures for purposes other than remedying health state
Z41.9 Encounter for procedure for purposes other than remedying health state, unspecified
Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Z42.1 Encounter for breast reconstruction following mastectomy
Z42.8 Encounter for other plastic and reconstructive surgery following medical procedure or healed injury
Z43 Encounter for attention to artificial openings
Z43.0 Encounter for attention to tracheostomy
Z43.1 Encounter for attention to gastrostomy
Z43.2 Encounter for attention to ileostomy
Z43.3 Encounter for attention to colostomy
Z43.4 Encounter for attention to other artificial openings of digestive tract
Z43.5 Encounter for attention to cystostomy
Z43.6 Encounter for attention to other artificial openings of urinary tract
Z43.7 Encounter for attention to artificial vagina
Z43.8 Encounter for attention to other artificial openings
Z43.9 Encounter for attention to unspecified artificial opening

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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