Z93.6

Z93.6: Other artificial openings of urinary tract status

Billable / specific codeICD-10-CMPOA exempt

Z93.6 is a billable, specific ICD-10-CM code for other artificial openings of urinary tract status. It is valid for submission on a claim.

Check Z93.6 with the rest of the claim: free scrubber

Inclusion terms

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

Nephrostomy status
Ureterostomy status
Urethrostomy status

Excludes1 inherited from the categories above Z93.6

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

Z93.6 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

Z93.6 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52487Ostomy Supplies - Policy Article

Alphabetic index entries that lead here

Nephrostomy›status
Status›nephrostomy
Status›ureterostomy
Status›urethrostomy
Ureterostomy›status
Urethrostomy›status
Artificial›opening status›nephrostomy
Artificial›opening status›ureterostomy
Artificial›opening status›urethrostomy
Artificial›opening status›urinary tract NEC
Status›artificial opening›urinary tract

Code history

Unchanged in every release from FY2024 to FY2027.