DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z43 Encounter for attention to artificial openings

  • Header · not billable

Z43 is not billable. The category heads 10 billable codes in FY2027: the 10 codes directly below it.

Index → code

  • Colostomyattention to → Z43.3
  • Ileostomyattention to → Z43.2
  • Cystostomyattention to → Z43.5

Where it sits

  1. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)
  2. Z40-Z53 Encounters for other specific health care (Z40-Z53)
  3. Z43 Encounter for attention to artificial openings
Billable codes
10
Subdivisions
10
CC / MCC codes
1 / 0
HCC V28 codes
9
New FY2027
0
Index entries
47

Codes in Z43

  1. Z43.0
    Encounter for attention to tracheostomy
    Billable211Exempt
  2. Z43.1
    Encounter for attention to gastrostomy
    BillableCC463Exempt
    Excludes2 1

    Excludes2

    • artificial opening status only, without need for care (Z93.-) Z93
  3. Z43.2
    Encounter for attention to ileostomy
    Billable463Exempt
  4. Z43.3
    Encounter for attention to colostomy
    Billable463Exempt
  5. Z43.4
    Encounter for attention to other artificial openings of digestive tract
    Billable463Exempt
  6. Z43.5
    Encounter for attention to cystostomy
    Billable463Exempt
  7. Z43.6
    Encounter for attention to other artificial openings of urinary tract
    Billable463Exempt
    Inclusion terms 3

    Inclusion terms

    • Encounter for attention to nephrostomy
    • Encounter for attention to ureterostomy
    • Encounter for attention to urethrostomy
  8. Z43.7
    Encounter for attention to artificial vagina
    BillableExempt
  9. Z43.8
    Encounter for attention to other artificial openings
    Billable463Exempt
  10. Z43.9
    Encounter for attention to unspecified artificial opening
    Billable463Exempt

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At 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

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

Excludes2

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

Notes that also apply

Block Z40-Z53 instructions (Inclusion terms 1, Excludes2 1): printed on the block page.

Chapter 21 instructions (Notes 3): printed on the chapter 21 page.

Index entries

  • Attention (to)tracheostomy → Z43.0
  • Attention (to)gastrostomy → Z43.1
  • Gastrostomyattention to → Z43.1
  • Attention (to)ileostomy → Z43.2
  • Ileostomyattention to → Z43.2
  • Removal (from) (of)ileostomy → Z43.2
  • Attention (to)colostomy → Z43.3
  • Colostomyattention to → Z43.3
  • Attention (to)jejunostomy → Z43.4
  • Attention (to)cystostomy → Z43.5
  • Cystostomyattention to → Z43.5
  • Attention (to)nephrostomy → Z43.6
  • Attention (to)ureterostomy → Z43.6
  • Attention (to)urethrostomy → Z43.6
  • Nephrostomyattention to → Z43.6
  • Ureterostomyattention to → Z43.6
  • Urethrostomyattention to → Z43.6
  • Admission (for)attention to artificial opening (of) → Z43.9
  • Admission (for)attention to artificial opening (of)tracheostomy → Z43.0
  • Tracheostomystatusattention to → Z43.0
  • Admission (for)attention to artificial opening (of)gastrostomy → Z43.1
  • Admission (for)attention to artificial opening (of)ileostomy → Z43.2
  • Admission (for)attention to artificial opening (of)colostomy → Z43.3
  • Admission (for)attention to artificial opening (of)enterostomy → Z43.4
  • Admission (for)attention to artificial opening (of)jejunostomy → Z43.4
  • Admission (for)attention to artificial opening (of)cystostomy → Z43.5
  • Admission (for)removal ofcystostomy catheter → Z43.5
  • Admission (for)attention to artificial opening (of)nephrostomy → Z43.6
  • Admission (for)attention to artificial opening (of)ureterostomy → Z43.6
  • Admission (for)attention to artificial opening (of)urethrostomy → Z43.6
  • Admission (for)attention to artificial opening (of)artificial vagina → Z43.7
  • Attention (to)artificialvagina → Z43.7
  • Admission (for)attention to artificial opening (of)specified site NEC → Z43.8
  • Attention (to)artificialopening (of) → Z43.9
  • Attention (to)artificialopening (of)trachea → Z43.0
  • Admission (for)attention to artificial opening (of)specified site NECintestinal tract → Z43.4
  • Attention (to)artificialopening (of)digestive tract NEC → Z43.4
  • Admission (for)attention to artificial opening (of)specified site NECurinary tract → Z43.6
  • Attention (to)artificialopening (of)urinary tract NEC → Z43.6
  • Attention (to)artificialopening (of)specified NEC → Z43.8

7 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy