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ICD-10-CM category Z89: Acquired absence of limb

Category Z89 is a heading in chapter 21 (Factors influencing health status and contact with health services (Z00-Z99)), section Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99). It is not billable; report one of the 49 complete codes below.

Notes that apply to every Z89 code

Includes
  • amputation status
  • postprocedural loss of limb
  • post-traumatic loss of limb
Excludes1 (never coded together)
  • acquired deformities of limbs (M20-M21)
  • congenital absence of limbs (Q71-Q73)

Billable codes in Z89

Billable FY2027 ICD-10-CM codes in category Z89
CodeDescription
Z89.011Acquired absence of right thumb
Z89.012Acquired absence of left thumb
Z89.019Acquired absence of unspecified thumb
Z89.021Acquired absence of right finger(s)
Z89.022Acquired absence of left finger(s)
Z89.029Acquired absence of unspecified finger(s)
Z89.111Acquired absence of right hand
Z89.112Acquired absence of left hand
Z89.119Acquired absence of unspecified hand
Z89.121Acquired absence of right wrist
Z89.122Acquired absence of left wrist
Z89.129Acquired absence of unspecified wrist
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
Z89.211Acquired 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
Z89.221Acquired 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
Z89.231Acquired absence of right shoulder
Z89.232Acquired absence of left shoulder
Z89.239Acquired absence of unspecified shoulder
Z89.411Acquired absence of right great toe
Z89.412Acquired absence of left great toe
Z89.419Acquired absence of unspecified great toe
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
Z89.431Acquired absence of right foot
Z89.432Acquired absence of left foot
Z89.439Acquired absence of unspecified foot
Z89.441Acquired absence of right ankle
Z89.442Acquired absence of left ankle
Z89.449Acquired absence of unspecified ankle
Z89.511Acquired absence of right leg below knee
Z89.512Acquired absence of left leg below knee
Z89.519Acquired absence of unspecified leg below knee
Z89.521Acquired absence of right knee
Z89.522Acquired absence of left knee
Z89.529Acquired absence of unspecified 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
Z89.621Acquired 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

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Codes from the FY2027 ICD-10-CM files (all chapters). Report the code that matches the documentation and the Official Guidelines; this list is not coding advice.