Z89.129 Acquired absence of unspecified wrist

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Z89 Acquired absence of limb

Includes

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

Excludes1 (never code together)

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

Applies from Z89.12 Acquired absence of wrist

Applicable to

• Disarticulation at wrist

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V49.64 Wrist amputation status (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z89.129

Back-references to Z89

• Type 1 Excludes: M20 Acquired deformities of fingers and toes ("acquired absence of fingers and toes (Z89.-)")
• Type 1 Excludes: M21 Other acquired deformities of limbs ("acquired absence of limb (Z89.-)")
• Type 2 Excludes: M95 Other acquired deformities of musculoskeletal system and connective tissue ("acquired absence of limbs and organs (Z89-Z90)")
• Use Additional: Z47.81 Encounter for orthopedic aftercare following surgical amputation ("code to identify the limb amputated (Z89.-)")

Nearby codes

• Z89.112 Acquired absence of left hand
• Z89.119 Acquired absence of unspecified hand
• Z89.12 Acquired absence of wrist
• Z89.121 Acquired absence of right wrist
• Z89.122 Acquired absence of left wrist
• Z89.129 Acquired absence of unspecified wrist (this code)
• Z89.2 Acquired absence of upper limb above wrist
• Z89.20 Acquired absence of upper limb, unspecified level
• 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