Is Z93.2 a billable ICD-10-CM code?

Yes. Z93.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z93.2 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z93.2?

Z93.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z93.2 (Z93) and apply to it just the same.

Z93.2

Z93.2 — Ileostomy status

Billable / specific codeICD-10-CMPOA exempt

Z93.2 is a billable, specific ICD-10-CM code for ileostomy status. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Ileal pouch status
Kock pouch status

Excludes1 inherited from the categories above Z93.2

These are not written on Z93.2, but they bind it: a note on a category applies to every code beneath it. Billing Z93.2 with anything listed here is a denial.

Written on Z93 — Artificial opening status

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

Risk adjustment

Z93.2 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.

Medicare coverage

Z93.2 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52487Ostomy Supplies - Policy Article

How Z93.2 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 Z93.2.

Ileostomy›status(ileal pouch) (Kock pouch)
Status›ileostomy(ileal pouch) (Kock pouch)
Artificial›opening status›ileostomy(ileal pouch) (Kock pouch)

Code history

Z93.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Z93. If Z93.2 is not quite right, the correct code is usually one of these.

Questions about Z93.2

Is Z93.2 a billable ICD-10-CM code?: Yes. Z93.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z93.2 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z93.2?: Z93.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z93.2 (Z93) and apply to it just the same.