Alphabetic Index FY2027

Z93.4

Other artificial openings of gastrointestinal tract status

FY2027Chapter 21: Factors influencing health status and contact with health services/Z77–Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

BillableComplete code, valid to report
Care settingsIPF Comorbidity · Artificial Openings – Digestive & Urinary

Z93.4 (also written Z934) is a billable ICD-10-CM diagnosis code for other artificial openings of gastrointestinal tract status. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 12 codes in category Z93 (Artificial opening status). The Alphabetic Index lists it under 8 entries. Its coding notes include a Code also instruction and 2 Excludes1 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A status code is not the same as a history code. It is not added when the diagnosis code already includes the status.

Guidelines I.C.21.c.3Status Z codesRead the official text

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Also from chapter/block level (1 note)
Inherited from Z77–Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • any follow-up examination (Z08-Z09)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from Z93 Artificial opening status
  • artificial openings requiring attention or management (Z43.-)
  • complications of external stoma (J95.0-, K94.-, N99.5-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

IPF Comorbidity

On the CMS IPF comorbidity list.

Comorbidity categoryFactor
Artificial Openings – Digestive & Urinary1.07
It counts as a comorbidity when reported as a secondary diagnosis and actively treated during the stay. An IPF receives only one adjustment within a category and can receive adjustments in more than one category.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum B-3 (comorbidity codes with adjustment factor); effective for discharges on or after October 1, 2026

Notes

Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 8 entries