Z43.0 Encounter for attention to tracheostomy

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Z43 Encounter for attention to artificial openings

Includes

• closure of artificial openings
• passage of sounds or bougies through artificial openings
• reforming artificial openings
• removal of catheter from artificial openings
• toilet or cleansing of artificial openings

Excludes1 (never code together)

• complications of external stoma (J95.0-, K94.-, N99.5-)

Excludes2 (not included here)

• fitting and adjustment of prosthetic and other devices (Z44-Z46)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 211 — Respirator Dependence/Tracheostomy Status/Complications
• CMS-HCC V22: HCC 82 — Respirator Dependence/Tracheostomy Status
• ESRD V24: HCC 82

MS-DRG index

Defines the logic of DRG(s) 205-206 in MDC 04.

Approximate ICD-9-CM (GEMs)

• V55.0 Attention to tracheostomy

Code annotations containing back-references to Z43.0

Back-references to Z43

• Type 1 Excludes: Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm ("aftercare following medical care (Z43-Z49, Z51)")
• Type 1 Excludes: Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm ("aftercare following medical care (Z43-Z49, Z51)")
• Type 2 Excludes: Z48 Encounter for other postprocedural aftercare ("encounter for attention to artificial openings (Z43.-)")
• Type 1 Excludes: Z93 Artificial opening status ("artificial openings requiring attention or management (Z43.-)")
• Type 2 Excludes: Z98 Other postprocedural states ("aftercare (Z43-Z49, Z51)")

Diagnosis Index entries for Z43.0

• Admission (for) › attention to artificial opening (of) › tracheostomy
• Attention (to) › artificial › opening (of) › trachea
• Attention (to) › tracheostomy
• Tracheostomy › status › attention to

Nearby codes

• Z43 Encounter for attention to artificial openings
• Z43.0 Encounter for attention to tracheostomy (this code)
• Z43.1 Encounter for attention to gastrostomy
• Z43.2 Encounter for attention to ileostomy
• Z43.3 Encounter for attention to colostomy
• Z43.4 Encounter for attention to other artificial openings of digestive tract
• Z43.5 Encounter for attention to cystostomy