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Compare/Z43.6 vs Z46.6

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 tractZ46.6Encounter for fitting and adjustment of urinary device
Billing statusBillableBillable
ClassificationZ00-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)
DefinitionEncounter 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