2024 ICD-10-CM Diagnosis Code Z90.49
Acquired absence of other specified parts of digestive tract
- ICD-10-CM Code:
- Z90.49
- ICD-10 Code for:
- Acquired absence of other specified parts of digestive tract
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
Z90.49 is a billable diagnosis code used to specify a medical diagnosis of acquired absence of other specified parts of digestive tract. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
This code 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.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Biliary contrast radiography normal
- Biliary contrast radiography normal
- Cholangiogram normal
- Cholangiogram normal
- Cholangiogram normal post-cholecystectomy
- Cholangiogram normal post-sphincterotomy
- Gallbladder absent
- History of appendectomy
- History of cholecystectomy
- History of colectomy
- History of esophagectomy
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of intestinal structure
- History of excision of small intestine
- History of excision of small intestine
- History of laparoscopic appendectomy
- History of partial resection of colon
- History of sigmoid colectomy
- History of total colectomy
- History of Whipple procedure
Clinical Classification
Clinical Category is Acquired absence of limb or organ
- CCSR Category Code: FAC022
- Inpatient Default CCSR: X - Not applicable.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Absence (of) (organ or part) (complete or partial)
- - digestive organ (s) or tract, congenital - Q45.8
- - acquired NEC - Z90.49
- - duodenum (acquired) - Z90.49
- - esophagus (congenital) - Q39.8
- - acquired (partial) - Z90.49
- - gallbladder (acquired) - Z90.49
- - ileum (acquired) - Z90.49
- - intestine (acquired) (small) - Z90.49
- - large - Z90.49
- - jejunum (acquired) - Z90.49
- - rectum (congenital) - Q42.1
- - acquired - Z90.49
- - digestive organ (s) or tract, congenital - Q45.8
- - Status (post) - See Also: Presence (of);
- - cholecystectomy - Z90.49
- - colectomy (complete) (partial) - Z90.49
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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.
Present on Admission (POA)
Z90.49 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 | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Z90.49 to ICD-9-CM
- ICD-9-CM Code: V45.72 - Acquire absnce intestine
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
Digestive Diseases
When you eat, your body breaks food down to a form it can use to build and nourish cells and provide energy. This process is called digestion.
Your digestive system is a series of hollow organs joined in a long, twisting tube. It runs from your mouth to your anus and includes your esophagus, stomach, and small and large intestines. Your liver, gallbladder and pancreas are also involved. They produce juices to help digestion.
There are many types of digestive disorders. The symptoms vary widely depending on the problem. In general, you should see your doctor if you have:
- Blood in your stool
- Changes in bowel habits
- Severe abdominal pain
- Unintentional weight loss
- Heartburn not relieved by antacids
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[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.