Is Z43.4 a billable ICD-10-CM code?

Yes. Z43.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z43.4 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).

Z43.4

Z43.4 — Encounter for attention to other artificial openings of digestive tract

Billable / specific codeICD-10-CMPOA exempt

Z43.4 is a billable, specific ICD-10-CM code for encounter for attention to other artificial openings of digestive tract. It is valid for submission on a claim.

Other codes that can never be billed with Z43.4

These codes carry an Excludes1 note pointing at Z43.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z43.4 alone.

Z46.5Encounter for fitting and adjustment of other gastrointestinal appliance and device

Risk adjustment

Z43.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 463 Artificial Openings for Feeding or Elimination0.673 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

How Z43.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z43.4.

Attention›jejunostomy
Admission›attention to artificial opening›enterostomy
Admission›attention to artificial opening›jejunostomy
Admission›attention to artificial opening›specified site NEC›intestinal tract
Attention›artificial›opening›digestive tract NEC

Related codes at this level

Codes that share Z43. If Z43.4 is not quite right, the correct code is usually one of these.

Questions about Z43.4

Is Z43.4 a billable ICD-10-CM code?: Yes. Z43.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z43.4 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).