DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z89 Acquired absence of limb

  • Header · not billable

Z89 is not billable. The category heads 49 billable codes in FY2027, grouped under 7 subdivisions.

Index → code

  • Amputee (bilateral) (old) → Z89.9
  • Absence (of) (organ or part) (complete or partial)arm (acquired) → Z89.20-
  • Absence (of) (organ or part) (complete or partial)foot (acquired) → Z89.43-
Billable codes
49
Subdivisions
7
CC / MCC codes
0 / 0
HCC V28 codes
12
New FY2027
0
Index entries
25

Codes in Z89

  1. Z89.0
    Acquired absence of thumb and other finger(s)
    Header
  2. Z89.01
    Acquired absence of thumb
    Header
  3. Z89.011
    Acquired absence of right thumb
    BillableExempt
  4. Z89.012
    Acquired absence of left thumb
    BillableExempt
  5. Z89.019
    Acquired absence of unspecified thumb
    BillableExempt
  6. Z89.02
    Acquired absence of other finger(s)
    Header
    Excludes2 1

    Excludes2

    • acquired absence of thumb (Z89.01-) Z89.01
  7. Z89.021
    Acquired absence of right finger(s)
    BillableExempt
  8. Z89.022
    Acquired absence of left finger(s)
    BillableExempt
  9. Z89.029
    Acquired absence of unspecified finger(s)
    BillableExempt
  10. Z89.1
    Acquired absence of hand and wrist
    Header
  11. Z89.11
    Acquired absence of hand
    Header
  12. Z89.111
    Acquired absence of right hand
    BillableExempt
  13. Z89.112
    Acquired absence of left hand
    BillableExempt
  14. Z89.119
    Acquired absence of unspecified hand
    BillableExempt
  15. Z89.12
    Acquired absence of wrist
    Header
    Inclusion terms 1

    Inclusion terms

    • Disarticulation at wrist
  16. Z89.121
    Acquired absence of right wrist
    BillableExempt
  17. Z89.122
    Acquired absence of left wrist
    BillableExempt
  18. Z89.129
    Acquired absence of unspecified wrist
    BillableExempt
  19. Z89.2
    Acquired absence of upper limb above wrist
    Header
  20. Z89.20
    Acquired absence of upper limb, unspecified level
    Header
  21. Z89.201
    Acquired absence of right upper limb, unspecified level
    BillableExempt
  22. Z89.202
    Acquired absence of left upper limb, unspecified level
    BillableExempt
  23. Z89.209
    Acquired absence of unspecified upper limb, unspecified level
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Acquired absence of arm NOS
  24. Z89.21
    Acquired absence of upper limb below elbow
    Header
  25. Z89.211
    Acquired absence of right upper limb below elbow
    BillableExempt
  26. Z89.212
    Acquired absence of left upper limb below elbow
    BillableExempt
  27. Z89.219
    Acquired absence of unspecified upper limb below elbow
    BillableExempt
  28. Z89.22
    Acquired absence of upper limb above elbow
    Header
    Inclusion terms 1

    Inclusion terms

    • Disarticulation at elbow
  29. Z89.221
    Acquired absence of right upper limb above elbow
    BillableExempt
  30. Z89.222
    Acquired absence of left upper limb above elbow
    BillableExempt
  31. Z89.229
    Acquired absence of unspecified upper limb above elbow
    BillableExempt
  32. Z89.23
    Acquired absence of shoulder
    Header
    Inclusion terms 1

    Inclusion terms

    • Acquired absence of shoulder joint following explantation of shoulder joint prosthesis, with or without presence of antibiotic-impregnated cement spacer
  33. Z89.231
    Acquired absence of right shoulder
    BillableExempt
  34. Z89.232
    Acquired absence of left shoulder
    BillableExempt
  35. Z89.239
    Acquired absence of unspecified shoulder
    BillableExempt
  36. Z89.4
    Acquired absence of toe(s), foot, and ankle
    Header
  37. Z89.41
    Acquired absence of great toe
    Header
  38. Z89.411
    Acquired absence of right great toe
    BillableExempt
  39. Z89.412
    Acquired absence of left great toe
    BillableExempt
  40. Z89.419
    Acquired absence of unspecified great toe
    BillableExempt
  41. Z89.42
    Acquired absence of other toe(s)
    Header
    Excludes2 1

    Excludes2

    • acquired absence of great toe (Z89.41-) Z89.41
  42. Z89.421
    Acquired absence of other right toe(s)
    BillableExempt
  43. Z89.422
    Acquired absence of other left toe(s)
    BillableExempt
  44. Z89.429
    Acquired absence of other toe(s), unspecified side
    BillableExempt
  45. Z89.43
    Acquired absence of foot
    Header
  46. Z89.431
    Acquired absence of right foot
    Billable409Exempt
  47. Z89.432
    Acquired absence of left foot
    Billable409Exempt
  48. Z89.439
    Acquired absence of unspecified foot
    Billable409Exempt
  49. Z89.44
    Acquired absence of ankle
    Header
    Inclusion terms 1

    Inclusion terms

    • Disarticulation of ankle
  50. Z89.441
    Acquired absence of right ankle
    Billable409Exempt
  51. Z89.442
    Acquired absence of left ankle
    Billable409Exempt
  52. Z89.449
    Acquired absence of unspecified ankle
    Billable409Exempt
  53. Z89.5
    Acquired absence of leg below knee
    Header
  54. Z89.51
    Acquired absence of leg below knee
    Header
  55. Z89.511
    Acquired absence of right leg below knee
    Billable409Exempt
  56. Z89.512
    Acquired absence of left leg below knee
    Billable409Exempt
  57. Z89.519
    Acquired absence of unspecified leg below knee
    Billable409Exempt
  58. Z89.52
    Acquired absence of knee
    Header
    Inclusion terms 1

    Inclusion terms

    • Acquired absence of knee joint following explantation of knee joint prosthesis, with or without presence of antibiotic-impregnated cement spacer
  59. Z89.521
    Acquired absence of right knee
    BillableExempt
  60. Z89.522
    Acquired absence of left knee
    BillableExempt
  61. Z89.529
    Acquired absence of unspecified knee
    BillableExempt
  62. Z89.6
    Acquired absence of leg above knee
    Header
  63. Z89.61
    Acquired absence of leg above knee
    Header
    Inclusion terms 2

    Inclusion terms

    • Acquired absence of leg NOS
    • Disarticulation at knee
  64. Z89.611
    Acquired absence of right leg above knee
    Billable409Exempt
  65. Z89.612
    Acquired absence of left leg above knee
    Billable409Exempt
  66. Z89.619
    Acquired absence of unspecified leg above knee
    Billable409Exempt
  67. Z89.62
    Acquired absence of hip
    Header
    Inclusion terms 2

    Inclusion terms

    • Acquired absence of hip joint following explantation of hip joint prosthesis, with or without presence of antibiotic-impregnated cement spacer
    • Disarticulation at hip
  68. Z89.621
    Acquired absence of right hip joint
    BillableExempt
  69. Z89.622
    Acquired absence of left hip joint
    BillableExempt
  70. Z89.629
    Acquired absence of unspecified hip joint
    BillableExempt
  71. Z89.9
    Acquired absence of limb, unspecified
    BillableExempt

Sources of each column.

Instructions

At Z89

Includes

  • amputation status
  • postprocedural loss of limb
  • post-traumatic loss of limb

Excludes1

  • acquired deformities of limbs (M20-M21) M20 M21
  • congenital absence of limbs (Q71-Q73) Q71 Q73

Notes that also apply

Block Z77-Z99 instructions (Code also 1): printed on the block page.

Chapter 21 instructions (Notes 3): printed on the chapter 21 page.

Index entries

  • Amputee (bilateral) (old) → Z89.9
  • Absence (of) (organ or part) (complete or partial)thumb (acquired) → Z89.01-
  • Absence (of) (organ or part) (complete or partial)finger(s) (acquired) → Z89.02-
  • Absence (of) (organ or part) (complete or partial)hand and wrist (acquired) → Z89.11-
  • Absence (of) (organ or part) (complete or partial)wrist (acquired) → Z89.12-
  • Absence (of) (organ or part) (complete or partial)arm (acquired) → Z89.20-
  • Absence (of) (organ or part) (complete or partial)toe(s) (acquired) → Z89.42-
  • Absence (of) (organ or part) (complete or partial)foot (acquired) → Z89.43-
  • Absence (of) (organ or part) (complete or partial)ankle (acquired) → Z89.44-
  • Absence (of) (organ or part) (complete or partial)knee (following explantation of knee joint prosthesis) (joint) (with or without presence of antibiotic-impregnated cement spacer) → Z89.52-
  • Absence (of) (organ or part) (complete or partial)leg (acquired) (above knee) → Z89.61-
  • Absence (of) (organ or part) (complete or partial)hip (following explantation of hip joint prosthesis) (joint) (with or without presence of antibiotic-impregnated cement spacer) → Z89.62-
  • Absence (of) (organ or part) (complete or partial)extremity (acquired) → Z89.9
  • Absence (of) (organ or part) (complete or partial)arm (acquired)below elbow → Z89.21-
  • Absence (of) (organ or part) (complete or partial)arm (acquired)above elbow → Z89.22-
  • Absence (of) (organ or part) (complete or partial)arm (acquired)shoulder (following explantation of shoulder joint prosthesis) (joint) (with or without presence of antibiotic-impregnated cement spacer) → Z89.23-
  • Absence (of) (organ or part) (complete or partial)toe(s) (acquired)great → Z89.41-
  • Absence (of) (organ or part) (complete or partial)leg (acquired) (above knee)below knee (acquired) → Z89.51-
  • Absence (of) (organ or part) (complete or partial)extremity (acquired)knee (following explantation of knee joint prosthesis) (joint) (with or without presence of antibiotic-impregnated cement spacer) → Z89.52-
  • Absence (of) (organ or part) (complete or partial)extremity (acquired)lower (above knee) → Z89.619
  • Amputationstump (surgical)healed or old NOS → Z89.9
  • Absence (of) (organ or part) (complete or partial)jointacquiredshoulder (following explantation of shoulder joint prosthesis) (with or without presence of antibiotic-impregnated cement spacer) → Z89.23-
  • Absence (of) (organ or part) (complete or partial)extremity (acquired)lower (above knee)below knee → Z89.51-
  • Absence (of) (organ or part) (complete or partial)jointacquiredknee (following explantation of knee joint prosthesis) (with or without presence of antibiotic-impregnated cement spacer) → Z89.52-
  • Absence (of) (organ or part) (complete or partial)jointacquiredhip (following explantation of hip joint prosthesis) (with or without presence of antibiotic-impregnated cement spacer) → Z89.62-

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy