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2025 ICD-10-CM code Z43.4

Encounter for attention to other artificial openings of digestive tract.

A corresponding procedure code must accompany a Z code if a procedure is performed.Do not use this code for complications of the artificial opening; use the appropriate complication code instead.This code is exempt from the Present on Admission (POA) reporting requirement.

Medical necessity is established by the need for ongoing care and maintenance of the artificial opening.The documentation should support the reason for the encounter and the specific services provided.

The physician or other healthcare professional is responsible for providing the necessary care and attention to the artificial opening, which may include cleaning, checking for complications, and providing guidance on management.

In simple words: This code is used when you visit a healthcare professional for care related to an artificial opening in your digestive system, other than the more common types like gastrostomy, ileostomy, or colostomy.

This code is used for encounters with the healthcare system for attention to artificial openings of the digestive tract, excluding gastrostomy, ileostomy, and colostomy.This includes care for stomas, such as closure, passage of instruments, reforming, removal of catheters, and cleansing.

Example 1: A patient with a jejunostomy (an opening in the jejunum, part of the small intestine) presents for routine stoma care and cleaning., A patient who has had previous surgery for a gastrointestinal disorder presents for follow-up care of their duodenostomy (an artificial opening into the duodenum)., A patient visits their physician for removal of a catheter from an artificial opening in their digestive tract.

Documentation should specify the type and location of the artificial opening, the specific services provided, and any associated complications or issues.

** This code is part of a range of Z codes (Z43) related to artificial openings and stomas. The parent code Z43 includes: closure of artificial openings, passage of sounds or bougies through artificial openings, reforming artificial openings, removal of catheter from artificial openings, and toilet or cleansing of artificial openings.

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