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ICD-10-CM Codes
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Z00-Z99
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Z40-Z53
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Z43-
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2023 ICD-10-CM Diagnosis Code Z43.1
2023 ICD-10-CM Diagnosis Code Z43.1
Encounter for attention to gastrostomy
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- Z43.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2023 edition of ICD-10-CM Z43.1 became effective on October 1, 2022.
- This is the American ICD-10-CM version of Z43.1 - other international versions of ICD-10 Z43.1 may differ.
Type 2 ExcludesType 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 (Z43.1) and the excluded code together.
The following code(s) above
Z43.1 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
Z43.1:
- Z00-Z99
2023 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health servicesNote- 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.
- Z40-Z53
2023 ICD-10-CM Range Z40-Z53
Encounters for other specific health careApplicable 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)
- Z43
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
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
Type 2 Excludes- fitting and adjustment of prosthetic and other devices (Z44-Z46)
- Attention to gastrostomy (artificial opening to stomach)
- Attention to gastrostomy done
- Care of gastrostomy tube done
- Gastrostomy (artificial opening to stomach) tube care
Present On AdmissionPOA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
- Z43.1 is considered exempt from POA reporting.
ICD-10-CM Z43.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
- 393 Other digestive system diagnoses with mcc
- 394 Other digestive system diagnoses with cc
- 395 Other digestive system diagnoses without cc/mcc
Convert Z43.1 to ICD-9-CM
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 Z43.1:
- Admission (for) - see also Encounter (for)
- attention to artificial opening (of) Z43.9
ICD-10-CM Diagnosis Code Z43.9
Encounter for attention to unspecified artificial opening
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- Attention (to)
- artificial
- opening (of) Z43.9
ICD-10-CM Diagnosis Code Z43.9
Encounter for attention to unspecified artificial opening
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- digestive tract NEC Z43.4
ICD-10-CM Diagnosis Code Z43.4
Encounter for attention to other artificial openings of digestive tract
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
- gastrostomy Z43.1
- Gastrostomy
ICD-10-CM Codes Adjacent To Z43.1
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
Z44 Encounter for fitting and adjustment of external prosthetic device
Z44.0 Encounter for fitting and adjustment of artificial arm
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
