Z43.6 vs Z46.6
Z43.6 (Encounter for attention to other artificial openings of urinary tract) compared with Z46.6 (Encounter for fitting and adjustment of urinary device), 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. Z43.6 carries an Excludes2 note covering Z46.6: “fitting and adjustment of prosthetic and other devices (Z44-Z46)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. Z46.6 carries an Excludes2 note covering Z43.6: “attention to artificial openings of urinary tract (Z43.5, Z43.6)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z43.6Encounter for attention to other artificial openings of urinary tract | Z46.6Encounter for fitting and adjustment of urinary device | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 other artificial openings of urinary tract is a billable ICD-10-CM diagnosis code (Z43.6). | Encounter for fitting and adjustment of urinary device is a billable ICD-10-CM diagnosis code (Z46.6). |
| Includes | closure of artificial openings passage of sounds or bougies through artificial openings reforming artificial openings removal of catheter from artificial openings | removal or replacement of other device |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources