`Z93.51` Cutaneous-vesicostomy status

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

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)

V44.51 Cutaneous-vesicostomy

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 Z93.51

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)")

Diagnosis Index entries for Z93.51

Artificial › opening status (functioning) (without complication) › cystostomy › cutaneous
Cystostomy › status › cutaneous
Status (post) › cystostomy › cutaneous

Nearby codes

Z93.2 Ileostomy status
Z93.3 Colostomy status
Z93.4 Other artificial openings of gastrointestinal tract status
Z93.5 Cystostomy status
Z93.50 Unspecified cystostomy status
Z93.51 Cutaneous-vesicostomy status (this code)
Z93.52 Appendico-vesicostomy status
Z93.59 Other cystostomy status
Z93.6 Other artificial openings of urinary tract status
Z93.8 Other artificial opening status
Z93.9 Artificial opening status, unspecified