Z93.2 — Ileostomy status
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
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)
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).