Acquired absence of limb (Z89) ICD-10-CM
The Z89 code range covers acquired absence of limb with 72 ICD-10-CM diagnosis codes. 49 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
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
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.
Codes in the Z89 Range 72 codes · 49 billable
- Z89 Acquired absence of limbNon-billable
- Z89.0 Acquired absence of thumb and other finger(s)Non-billable
- Z89.01 Acquired absence of thumbNon-billable
- 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)Non-billable
- 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 wristNon-billable
- Z89.11 Acquired absence of handNon-billable
- 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 wristNon-billable
- 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 wristNon-billable
- Z89.20 Acquired absence of upper limb, unspecified levelNon-billable
- 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 elbowNon-billable
- 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 elbowNon-billable
- 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 shoulderNon-billable
- 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 ankleNon-billable
- Z89.41 Acquired absence of great toeNon-billable
- 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)Non-billable
- 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 footNon-billable
- 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 ankleNon-billable
- 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 kneeNon-billable
- Z89.51 Acquired absence of leg below kneeNon-billable
- 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 kneeNon-billable
- 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 kneeNon-billable
- Z89.61 Acquired absence of leg above kneeNon-billable
- 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 hipNon-billable
- 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 Acquired absence of limb, unspecified
About the Z89 Code Range
The ICD-10 code section Z89 is used to classify and document various types of acquired absence of limbs, from fingers and toes to entire limbs and specific joints like the shoulder or hip. These codes specify the exact limb part missing, which helps in medical records and treatment planning.
This section covers detailed codes for the loss of thumbs, fingers, hands, wrists, upper limbs at various levels (below elbow, above elbow, shoulder), as well as lower limb amputations including toes, feet, ankles, legs (below and above knee), knees, hips, and unspecified limb absences. For example, codes like Z89.011 and Z89.012 represent acquired absence of the right and left thumb, respectively, while Z89.611 and Z89.612 specify acquired absence of the right and left leg above the knee. Common synonyms associated with these codes, such as "history of amputation of thumb," "amputated hand," or "phantom pain following amputation," link everyday terminology to the official ICD-10 codes. By understanding the ICD-10 code for acquired absence of limb and its subcategories, healthcare professionals and coders can accurately identify the missing body part, facilitating precise documentation and patient care.
Questions About This Page
How many billable codes are in the Z89 range?
Of the 72 codes in this range, 49 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the Z89 range classify?
The range classifies acquired absence of limb. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
