2025 ICD-10-CM code Z89.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Acquired absence of limb Chapter 21: Factors influencing health status and contact with health services Feed
Acquired absence of the upper limb above the wrist.
Modifiers may be applicable depending on the specific procedure or service provided.
Medical necessity would depend on the reason for the encounter.Prosthetic fitting is generally considered medically necessary for functional improvements.Follow-up care may be medically necessary to address complications like phantom pain or infections.
The clinical responsibility would depend on the reason for the encounter.If it's for assessment of the absence or prosthetic fitting, it might be an orthopedist or prosthetist. If related to a secondary condition, it would be determined by that condition's requirements.
- Chapter 21: Factors influencing health status and contact with health services
- Z89: Acquired absence of limb
In simple words: This code is used when a person is missing an arm above the wrist.This is not a birth defect; it happened later in life because of an accident, surgery, or illness.
This code signifies the acquired absence of an upper limb (arm) above the wrist joint.The absence is not congenital; it's a result of an event such as trauma, surgery (amputation), or other acquired condition.The code does not specify the cause of the absence, only the resulting condition.
Example 1: A patient presents for a prosthetic fitting following a traumatic amputation of their arm above the wrist., A patient with an above-wrist amputation comes in for a routine check-up to evaluate phantom limb pain and other potential complications., A patient who had an above-wrist amputation due to cancer treatment needs to be evaluated for any further complications.
Documentation should include the reason for the absence (e.g., trauma, surgery), the date of the event leading to the absence, and any relevant imaging or surgical reports.
** This code is used for encounters focused on the acquired absence of the upper limb itself, not on the underlying condition that caused the absence.Additional codes may be necessary to specify that underlying condition or associated issues.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Orthopedics, Prosthetics, Physical Medicine and Rehabilitation, Oncology (if related to cancer treatment)
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center