2027 ICD-10-CM Diagnosis Code Z89Acquired absence of limb

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z89

ICD-10-CM Z89
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z89 is a non-billable ICD-10-CM category code for acquired absence of limb, so it cannot be submitted on claims. Use a more specific code from this category instead, such as Z89.011, Z89.012, Z89.019, and Z89.021.

Code Identity

ICD-10-CM Code
Z89
Billable Status
No — Non-Billable Category
Code Describes
Acquired absence of limb
Short Description
Acquired absence of limb
Same as the full description in the CMS dataset.
Chapter
Z77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ89Acquired absence of limb
This CodeZ89Acquired absence of limb

Specific Coding for Acquired absence of limbOverview

Non-specific codes like Z89 require more characters. Use one of these billable codes instead:

  • Z89.0 for Acquired absence of thumb and other finger(s)

  • Z89.01 for Acquired absence of thumb

  • Z89.02 for Acquired absence of other finger(s)

  • Z89.1 for Acquired absence of hand and wrist

  • Z89.11 for Acquired absence of hand

  • Z89.12 for Acquired absence of wrist

  • Z89.2 for Acquired absence of upper limb above wrist

  • Z89.20 for Acquired absence of upper limb, unspecified level

  • Z89.21 for Acquired absence of upper limb below elbow

  • Z89.22 for Acquired absence of upper limb above elbow

  • Z89.23 for Acquired absence of shoulder

  • Z89.4 for Acquired absence of toe(s), foot, and ankle

  • Z89.41 for Acquired absence of great toe

  • Z89.42 for Acquired absence of other toe(s)

  • Z89.43 for Acquired absence of foot

  • Z89.44 for Acquired absence of ankle

  • Z89.5 for Acquired absence of leg below knee

  • Z89.51 for Acquired absence of leg below knee

  • Z89.52 for Acquired absence of knee

  • Z89.6 for Acquired absence of leg above knee

  • Z89.61 for Acquired absence of leg above knee

  • Z89.62 for Acquired absence of hip

  • Use Z89.9 for Acquired absence of limb, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z89: its own notes plus those printed at block Z77-Z99 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

  • amputation status
  • postprocedural loss of limb
  • post-traumatic loss of limb

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • acquired deformities of limbs (M20-M21)
  • congenital absence of limbs (Q71-Q73)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z89, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming Z89: they are not reported together with it, unless the two conditions are unrelated.

  • M20 Acquired deformities of fingers and toes
    acquired absence of fingers and toes (Z89.-)
  • M21 Other acquired deformities of limbs
    acquired absence of limb (Z89.-)

Excludes2 1

These codes carry an Excludes2 note naming Z89: its condition is not part of those codes, and both may be reported when the patient has both.

  • M95 Other acquired deformities of musculoskeletal system and connective tissue
    acquired absence of limbs and organs (Z89-Z90)

Use Additional Code 1

These codes say to use an additional code from the note, and Z89 is one of the codes named.

  • Z47.81 Encounter for orthopedic aftercare following surgical amputation
    code to identify the limb amputated (Z89.-)

Clinical InformationClinical

  • Acquired Absence of Limb

    the absence of an extremity which is not present at birth and is the result of an injury or disease.

Patient EducationClinical

Limb Loss

People can lose all or part of an arm or leg for many reasons. Common ones include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z89Overview

What is the ICD-10 code for acquired absence of limb?

Z89 is the ICD-10-CM category for acquired absence of limb, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is Z89 (Acquired absence of limb) a billable code?

No. This is a category header that groups the codes for acquired absence of limb, and headers cannot be submitted on claims. Claims for acquired absence of limb need a more specific code from this category, such as Z89.011, Z89.012, and Z89.019.