N99.5 vs Z43
N99.5 (Complications of stoma of urinary tract) compared with Z43 (Encounter for attention to artificial openings), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z43 carries an Excludes1 note covering N99.5: “complications of external stoma (J95.0-, K94.-, N99.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| N99.5Complications of stoma of urinary tract | Z43Encounter for attention to artificial openings | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Complications of stoma of urinary tract is a non-billable ICD-10-CM category code (N99.5). | Encounter for attention to artificial openings is a non-billable ICD-10-CM category code (Z43). |
| Includes | — | closure of artificial openings passage of sounds or bougies through artificial openings reforming artificial openings removal of catheter from artificial openings |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources