Version 2024

2024 ICD-10-CM Diagnosis Code Z89.4

Acquired absence of toe(s), foot, and ankle

ICD-10-CM Code:
Z89.4
ICD-10 Code for:
Acquired absence of toe(s), foot, and ankle
Is Billable?
Not Valid for Submission
Code Navigator:

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)

Z89.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of acquired absence of toe(s), foot, and ankle. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Acquired absence of toe(s), foot, and ankle

Non-specific codes like Z89.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for acquired absence of toe(s), foot, and ankle:

  • Z89.41 for Acquired absence of great toe - NON-BILLABLE CODE

  • Use Z89.411 for Acquired absence of right great toe - BILLABLE CODE

  • Use Z89.412 for Acquired absence of left great toe - BILLABLE CODE

  • Use Z89.419 for Acquired absence of unspecified great toe - BILLABLE CODE

  • Z89.42 for Acquired absence of other toe(s) - NON-BILLABLE CODE

  • Use Z89.421 for Acquired absence of other right toe(s) - BILLABLE CODE

  • Use Z89.422 for Acquired absence of other left toe(s) - BILLABLE CODE

  • Use Z89.429 for Acquired absence of other toe(s), unspecified side - BILLABLE CODE

  • Z89.43 for Acquired absence of foot - NON-BILLABLE CODE

  • Use Z89.431 for Acquired absence of right foot - BILLABLE CODE

  • Use Z89.432 for Acquired absence of left foot - BILLABLE CODE

  • Use Z89.439 for Acquired absence of unspecified foot - BILLABLE CODE

  • Z89.44 for Acquired absence of ankle - NON-BILLABLE CODE

  • Use Z89.441 for Acquired absence of right ankle - BILLABLE CODE

  • Use Z89.442 for Acquired absence of left ankle - BILLABLE CODE

  • Use Z89.449 for Acquired absence of unspecified ankle - BILLABLE CODE

Clinical Information

  • 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 Education


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.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.