HCC 409 (V28)
Amputation Status, Lower Limb/Amputation Complications
44 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overridden by: HCC 263 (Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene), HCC 405 (Traumatic Amputations and Complications). If the patient also has one of these, only the higher HCC counts.
| G54.6 | Phantom limb syndrome with pain |
| G54.7 | Phantom limb syndrome without pain |
| T87.30 | Neuroma of amputation stump, unspecified extremity |
| T87.31 | Neuroma of amputation stump, right upper extremity |
| T87.32 | Neuroma of amputation stump, left upper extremity |
| T87.33 | Neuroma of amputation stump, right lower extremity |
| T87.34 | Neuroma of amputation stump, left lower extremity |
| T87.40 | Infection of amputation stump, unspecified extremity |
| T87.41 | Infection of amputation stump, right upper extremity |
| T87.42 | Infection of amputation stump, left upper extremity |
| T87.43 | Infection of amputation stump, right lower extremity |
| T87.44 | Infection of amputation stump, left lower extremity |
| T87.50 | Necrosis of amputation stump, unspecified extremity |
| T87.51 | Necrosis of amputation stump, right upper extremity |
| T87.52 | Necrosis of amputation stump, left upper extremity |
| T87.53 | Necrosis of amputation stump, right lower extremity |
| T87.54 | Necrosis of amputation stump, left lower extremity |
| T87.81 | Dehiscence of amputation stump |
| T87.89 | Other complications of amputation stump |
| T87.9 | Unspecified complications of amputation stump |
| Z44.101 | Encounter for fitting and adjustment of unspecified right artificial leg |
| Z44.102 | Encounter for fitting and adjustment of unspecified left artificial leg |
| Z44.109 | Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg |
| Z44.111 | Encounter for fitting and adjustment of complete right artificial leg |
| Z44.112 | Encounter for fitting and adjustment of complete left artificial leg |
| Z44.119 | Encounter for fitting and adjustment of complete artificial leg, unspecified leg |
| Z44.121 | Encounter for fitting and adjustment of partial artificial right leg |
| Z44.122 | Encounter for fitting and adjustment of partial artificial left leg |
| Z44.129 | Encounter for fitting and adjustment of partial artificial leg, unspecified leg |
| Z89.431 | Acquired absence of right foot |
| Z89.432 | Acquired absence of left foot |
| Z89.439 | Acquired absence of unspecified foot |
| Z89.441 | Acquired absence of right ankle |
| Z89.442 | Acquired absence of left ankle |
| Z89.449 | Acquired absence of unspecified ankle |
| Z89.511 | Acquired absence of right leg below knee |
| Z89.512 | Acquired absence of left leg below knee |
| Z89.519 | Acquired absence of unspecified leg below knee |
| Z89.611 | Acquired absence of right leg above knee |
| Z89.612 | Acquired absence of left leg above knee |
| Z89.619 | Acquired absence of unspecified leg above knee |
| Z97.13 | Presence of artificial right leg (complete) (partial) |
| Z97.14 | Presence of artificial left leg (complete) (partial) |
| Z97.16 | Presence of artificial legs, bilateral (complete) (partial) |