Z90.5 Acquired absence of kidney

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

Applies from Z90 Acquired absence of organs, not elsewhere classified

Includes

• postprocedural or post-traumatic loss of body part NEC

Excludes1 (never code together)

• congenital absence - see Alphabetical Index

Excludes2 (not included here)

• postprocedural absence of endocrine glands (E89.-)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• V45.73 Acquired absence of kidney

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 Z90.5

Back-references to Z90

• Type 2 Excludes: M95 Other acquired deformities of musculoskeletal system and connective tissue ("acquired absence of limbs and organs (Z89-Z90)")
• Use Additional: Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm ("code to identify any acquired absence of organs (Z90.-)")

Diagnosis Index entries for Z90.5

• Absence (of) (organ or part) (complete or partial) › kidney (s) (acquired)
• Status (post) › nephrectomy (unilateral) (bilateral)

Nearby codes

• Z90.4 Acquired absence of other specified parts of digestive tract
• Z90.41 Acquired absence of pancreas
• Z90.410 Acquired total absence of pancreas
• Z90.411 Acquired partial absence of pancreas
• Z90.49 Acquired absence of other specified parts of digestive tract
• Z90.5 Acquired absence of kidney (this code)
• Z90.6 Acquired absence of other parts of urinary tract
• Z90.7 Acquired absence of genital organ(s)
• Z90.71 Acquired absence of cervix and uterus
• Z90.710 Acquired absence of both cervix and uterus
• Z90.711 Acquired absence of uterus with remaining cervical stump