Z93.0

Z93.0: Tracheostomy status

Billable / specific codeICD-10-CMPOA exempt

Z93.0 is a billable, specific ICD-10-CM code for tracheostomy status. It is valid for submission on a claim.

Check Z93.0 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Z93.0

A category’s note binds every code beneath it.

Written on Z93: Artificial opening status

artificial openings requiring attention or management (Z43.-)
complications of external stoma (J95.0-, K94.-, N99.5-)

Risk adjustment

Z93.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 211 Respirator Dependence/Tracheostomy Status/Complications0.879 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

Z93.0 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52466Nebulizers - Policy Article
A52492Tracheostomy Care Supplies - Policy Article
A52519Suction Pumps - Policy Article
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)

Alphabetic index entries that lead here

Status›tracheostomy
Tracheostomy›status
Artificial›opening status›tracheostomy

Code history

Unchanged in every release from FY2024 to FY2027.