Z43 – Encounter for attention to artificial openings

ICD-10-CM 2027 diagnosis code · Encounters for other specific health care

Non-billable header

ICD-10-CM code Z43

Code: Z43 (claims format: Z43)
Description: Encounter for attention to artificial openings
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 21. Factors influencing health status and contact with health services (Z00-Z99)
Block: Z40-Z53 Encounters for other specific health care

Billable codes under Z43

Z43 is a header code and cannot be used on claims. Choose the most specific code:

Notes for Z43

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):

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

Excludes2 (not included here):

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

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

Block Z40-Z53

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

Excludes2 (not included here):

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

Frequently asked questions

What is ICD-10 code Z43?

Z43 is the ICD-10-CM code for encounter for attention to artificial openings, in the block Z40-Z53 (Encounters for other specific health care).

Is Z43 a billable code?

No. Z43 is a header code with more specific child codes; report one of the billable codes listed above.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.