2026 ICD-10-CM Diagnosis Code Z89.209Acquired absence of unspecified upper limb, unspecified level
Z89.209 is a billable ICD-10-CM diagnosis code for acquired absence of unspecified upper limb, unspecified level. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as absence of upper limb. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acquired absence of limb or organ.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z89.209.
Present on Admission (POA)Billing
Z89.209 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Absence of upper limb
- Amputated at forequarter
- Amputated at shoulder
- H/O: upper limb amputation
- Phantom pain
- Phantom pain following amputation of upper limb
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Acquired absence of arm NOS
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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
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Convert Z89.209 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z89.209Overview
Is Z89.209 (Acquired absence of upper limb, unspecified level) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report acquired absence of unspecified upper limb, unspecified level on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z89.209 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because acquired absence of unspecified upper limb, unspecified level describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z89.209 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for acquired absence of unspecified upper limb, unspecified level on inpatient claims.
What is the ICD-9 equivalent of Z89.209?
Under the General Equivalence Mappings, acquired absence of unspecified upper limb, unspecified level converts to ICD-9-CM V49.60 (status amput up lmb NOS). The mapping is approximate, so confirm the match fits the documentation.
