Z43
⚠ Non-billable
Encounter for attention to artificial openings
ICD-10-CM · FY2026 · Factors Influencing Health Status
Code
Z43
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Factors Influencing Health Status
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.
Official coding notes
From CMS's ICD-10-CM Tabular List.
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 — never code together
- complications of external stoma (J95.0-, K94.-, N99.5-)
Excludes2 — not included here, but may code together
- fitting and adjustment of prosthetic and other devices (Z44-Z46)
Frequently asked questions
What is ICD-10 code Z43?
ICD-10-CM code Z43 represents Encounter for attention to artificial openings. It is a non-billable header code requiring a more specific subcategory in the Factors Influencing Health Status chapter, effective October 1, 2025 – September 30, 2026.
Is Z43 billable?
No. Z43 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is Z43 in?
Z43 belongs to the Factors Influencing Health Status chapter (Z00–Z99) of ICD-10-CM.
Related codes in the Z43 category
Z43.0
Encounter for attention to tracheostomy
Billable
Z43.1
Encounter for attention to gastrostomy
Billable
Z43.2
Encounter for attention to ileostomy
Billable
Z43.3
Encounter for attention to colostomy
Billable
Z43.4
Encounter for attention to other artificial openings of digestive tract
Billable
Z43.5
Encounter for attention to cystostomy
Billable
Z43.6
Encounter for attention to other artificial openings of urinary tract
Billable
Z43.7
Encounter for attention to artificial vagina
Billable
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