Acquired absence of limb

Instructional notes

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when and how to use Z codes (Z00-Z99) for encounters and supplementary information, including contact, status, history, screening, aftercare, exams, and social determinants of health.

• Use of Z Codes in Any Healthcare Setting (page 92)
• Z Codes Indicate a Reason for an Encounter or Provide Additional Information about a Patient Encounter (page 93)
• Categories of Z Codes (page 93)

Read Section I.C.21 (page 92)

All codes under Z89

Z89 can't be used on a claim. Pick a billable code below; grey headings group them.

• Z89.0Acquired absence of thumb and other finger(s)
• Z89.01Acquired absence of thumb
• Z89.011Acquired absence of right thumb
• Z89.012Acquired absence of left thumb
• Z89.019Acquired absence of unspecified thumb
• Z89.02Acquired absence of other finger(s)
• Z89.021Acquired absence of right finger(s)
• Z89.022Acquired absence of left finger(s)
• Z89.029Acquired absence of unspecified finger(s)
• Z89.1Acquired absence of hand and wrist
• Z89.11Acquired absence of hand
• Z89.111Acquired absence of right hand
• Z89.112Acquired absence of left hand
• Z89.119Acquired absence of unspecified hand
• Z89.12Acquired absence of wrist
• Z89.121Acquired absence of right wrist
• Z89.122Acquired absence of left wrist
• Z89.129Acquired absence of unspecified wrist
• Z89.2Acquired absence of upper limb above wrist
• Z89.20Acquired absence of upper limb, unspecified level
• Z89.201Acquired absence of right upper limb, unspecified level
• Z89.202Acquired absence of left upper limb, unspecified level
• Z89.209Acquired absence of unspecified upper limb, unspecified level
• Z89.21Acquired absence of upper limb below elbow
• Z89.211Acquired absence of right upper limb below elbow
• Z89.212Acquired absence of left upper limb below elbow
• Z89.219Acquired absence of unspecified upper limb below elbow
• Z89.22Acquired absence of upper limb above elbow
• Z89.221Acquired absence of right upper limb above elbow
• Z89.222Acquired absence of left upper limb above elbow
• Z89.229Acquired absence of unspecified upper limb above elbow
• Z89.23Acquired absence of shoulder
• Z89.231Acquired absence of right shoulder
• Z89.232Acquired absence of left shoulder
• Z89.239Acquired absence of unspecified shoulder
• Z89.4Acquired absence of toe(s), foot, and ankle
• Z89.41Acquired absence of great toe
• Z89.411Acquired absence of right great toe
• Z89.412Acquired absence of left great toe
• Z89.419Acquired absence of unspecified great toe
• Z89.42Acquired absence of other toe(s)
• Z89.421Acquired absence of other right toe(s)
• Z89.422Acquired absence of other left toe(s)
• Z89.429Acquired absence of other toe(s), unspecified side
• Z89.43Acquired absence of foot
• Z89.431Acquired absence of right foot
• Z89.432Acquired absence of left foot
• Z89.439Acquired absence of unspecified foot
• Z89.44Acquired absence of ankle
• Z89.441Acquired absence of right ankle
• Z89.442Acquired absence of left ankle
• Z89.449Acquired absence of unspecified ankle
• Z89.5Acquired absence of leg below knee
• Z89.51Acquired absence of leg below knee
• Z89.511Acquired absence of right leg below knee
• Z89.512Acquired absence of left leg below knee
• Z89.519Acquired absence of unspecified leg below knee
• Z89.52Acquired absence of knee
• Z89.521Acquired absence of right knee
• Z89.522Acquired absence of left knee
• Z89.529Acquired absence of unspecified knee
• Z89.6Acquired absence of leg above knee
• Z89.61Acquired absence of leg above knee
• Z89.611Acquired absence of right leg above knee
• Z89.612Acquired absence of left leg above knee
• Z89.619Acquired absence of unspecified leg above knee
• Z89.62Acquired absence of hip
• Z89.621Acquired absence of right hip joint
• Z89.622Acquired absence of left hip joint
• Z89.629Acquired absence of unspecified hip joint
• Z89.9Acquired absence of limb, unspecified

Z89 MS-DRG

As the principal diagnosis, all 49 billable codes under Z89 group to MS-DRG 951 (v44.0).

• DRG 951 Other Factors Influencing Health Status

Other codes that refer to Z89

Notes on these codes point to Z89.

• M20 Excludes1: acquired absence of fingers and toes (Z89.-)
• M21 Excludes1: acquired absence of limb (Z89.-)
• M95 Excludes2: acquired absence of limbs and organs (Z89-Z90)
• Z47.81 Use Additional Code: code to identify the limb amputated (Z89.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.