Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applicable to
Ileal pouch status
Kock pouch status
Applies from Z93 Artificial opening status
Excludes1 (never code together)
artificial openings requiring attention or management (Z43.-)
complications of external stoma (J95.0-, K94.-, N99.5-)
Risk adjustment (HCC)
CMS-HCC V28: HCC 463 — Artificial Openings for Feeding or Elimination
CMS-HCC V22: HCC 188 — Artificial Openings for Feeding or Elimination
ESRD V24: HCC 188
MS-DRG index
Defines the logic of DRG(s) 951 in MDC 23.
Approximate ICD-9-CM (GEMs)
V44.2 Ileostomy status
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z93.2
Back-references to Z93
Use Additional: L24.B Irritant contact dermatitis related to stoma or fistula ("code to identify any artificial opening status (Z93.-), if applicable, for contact dermatitis related to stoma secretions")
Type 2 Excludes: Z43.1 Encounter for attention to gastrostomy ("artificial opening status only, without need for care (Z93.-)")
Type 2 Excludes: Z78 Other specified health status ("postprocedural status (Z93-Z99)")