Z08 vs Z43
Z08 (Encounter for follow-up examination after completed treatment for malignant neoplasm) 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. Z08 carries an Excludes1 note covering Z43: “aftercare following medical care (Z43-Z49, Z51)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. Z43 carries an Excludes2 note covering Z08: “follow-up examination for medical surveillance after treatment (Z08-Z09)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z08Encounter for follow-up examination after completed treatment for malignant neoplasm | Z43Encounter for attention to artificial openings | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Encounter for follow-up examination after completed treatment for malignant neoplasm is a billable ICD-10-CM diagnosis code (Z08). | Encounter for attention to artificial openings is a non-billable ICD-10-CM category code (Z43). |
| Includes | Medical surveillance following completed treatment | 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 any acquired absence of organs (Z90.-) code to identify the personal history of malignant neoplasm (Z85.-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources