Z89.9 Acquired absence of limb, unspecified

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)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• V49.60 Unspecified level upper limb amputation status (approximate)
• V49.70 Unspecified level lower limb 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 Z89.9

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.-)")

Diagnosis Index entries for Z89.9

• Absence (of) (organ or part) (complete or partial) › extremity (acquired)
• Amputation › stump (surgical) › healed or old NOS
• Amputee (bilateral) (old)

Nearby codes

• Z89.619 Acquired absence of unspecified leg above knee
• Z89.62 Acquired absence of hip
• 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 (this code)