Z43Non-billable (header)

Encounter for attention to artificial openings

Related Codes· Encounters for other specific health care (Z40-Z53)

Z40Encounter for prophylactic surgeryZ41Encounter for procedures for purposes other than remedying h…Z42Encounter for plastic and reconstructive surgery following m…Z44Encounter for fitting and adjustment of external prosthetic …

Sub-codes of Z43(10)

Z43 is a non-billable header. Select a sub-code to bill.

Z43.0Encounter for attention to tracheostomy✓ BillableZ43.1Encounter for attention to gastrostomy✓ BillableZ43.2Encounter for attention to ileostomy✓ BillableZ43.3Encounter for attention to colostomy✓ BillableZ43.4Encounter for attention to other artificial openings of dige…✓ BillableZ43.5Encounter for attention to cystostomy✓ BillableZ43.6Encounter for attention to other artificial openings of urin…✓ BillableZ43.7Encounter for attention to artificial vagina✓ BillableZ43.8Encounter for attention to other artificial openings✓ BillableZ43.9Encounter for attention to unspecified artificial opening✓ Billable

✓ 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

✗ Excludes 1(Not coded here)

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

⚠ Excludes 2(Not included here)

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

Code Hierarchy

┌21Factors influencing health status and contact with health services (Z00-Z99)├Z40-Z53Encounters for other specific health care (Z40-Z53)├Z43Encounter for attention to artificial openings
└Z43Encounter for attention to artificial openings

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