ICD-10-CM Code Z89

Acquired absence of limb

Version 2020 Non-Billable Code

Not Valid for Submission

Z89 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of acquired absence of limb. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z89
Short Description:Acquired absence of limb
Long Description:Acquired absence of limb

Consider the following ICD-10 codes with a higher level of specificity:

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

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z89:

Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • amputation status
  • postprocedural loss of limb
  • post-traumatic loss of limb

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acquired deformities of limbs M20 M21
  • congenital absence of limbs Q71 Q73

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Acquired absence of limb (Z89)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Limb Loss

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

  • Problems with blood circulation. These may be the result of atherosclerosis or diabetes. Severe cases may result in amputation.
  • Injuries, including from traffic accidents and military combat
  • Cancer
  • Birth defects

Some amputees have phantom pain, which is the feeling of pain in the missing limb. Other physical problems include surgical complications and skin problems, if you wear an artificial limb. Many amputees use an artificial limb. Learning how to use it takes time. Physical therapy can help you adapt.

Recovery from the loss of a limb can be hard. Sadness, anger, and frustration are common. If you are having a tough time, talk to your doctor. Treatment with medicine or counseling can help.


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