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T84.7XXD vs Z43

T84.7XXD (Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, subsequent encounter) compared with Z43 (Encounter for attention to artificial openings), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T84.7XXD
Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, subsequent encounter
↔
Z43
Encounter for attention to artificial openings

Distinct conditions — both may be reported.

“closure of external stoma (Z43.-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. T84.7XXD carries an Excludes2 note covering Z43: “closure of external stoma (Z43.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

T84.7XXDInfection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, subsequent encounterZ43Encounter for attention to artificial openings
Billing statusBillableNon-billable header

Report instead: Z43.0, Z43.1, Z43.2, Z43.3, Z43.4

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionInfection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.7D).Encounter for attention to artificial openings is a non-billable ICD-10-CM category code (Z43).
7th characterThe appropriate 7th character is to be added to each code from category T84—
Includes—
closure of artificial openings
passage of sounds or bougies through artificial openings
reforming artificial openings
removal of catheter from artificial openings
Use additional code
code to identify infection
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
—
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources