Z89.221 Acquired absence of right upper limb above elbow

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 Z89.22 Acquired absence of upper limb above elbow

Applicable to

• Disarticulation at elbow

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• V49.66 Above elbow 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 Z89.221

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

• Z89.21 Acquired absence of upper limb below elbow
• 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 elbow
• Z89.221 Acquired absence of right upper limb above elbow (this code)
• 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 shoulder
• Z89.231 Acquired absence of right shoulder
• Z89.232 Acquired absence of left shoulder