Z43 vs Z98
Z43 (Encounter for attention to artificial openings) compared with Z98 (Other postprocedural states), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Z98 carries an Excludes2 note covering Z43: “aftercare (Z43-Z49, Z51)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z43Encounter for attention to artificial openings | Z98Other postprocedural states | |
|---|---|---|
| Billing status | Non-billable header | 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 attention to artificial openings is a non-billable ICD-10-CM category code (Z43). | Other postprocedural states is a non-billable ICD-10-CM category code (Z98). |
| 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