ICD-10-CM Code Z89.432

Acquired absence of left foot

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z89.432 is a billable code used to specify a medical diagnosis of acquired absence of left foot. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z89.432 might also be used to specify conditions or terms like amputated forefoot or history of amputation of left foot or history of amputation of left forefoot or o/e - amputated left forefoot. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z89.432 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z89.432
Short Description:Acquired absence of left foot
Long Description:Acquired absence of left foot

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Amputated forefoot
  • History of amputation of left foot
  • History of amputation of left forefoot
  • O/E - Amputated left forefoot

Present on Admission (POA)

Z89.432 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z89.432 to ICD-9

  • V49.73 - Status amput foot (Approximate Flag)

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.


[Learn More]