2025 ICD-10-CM code Z89
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status Factors influencing health status and contact with health services Feed
Acquired absence of a limb, resulting from amputation, trauma, or other causes.
Modifiers may be applicable depending on the circumstances of the encounter and the additional procedures or services provided.
Medical necessity for the encounter will depend on the reason for the visit.This could include routine follow-up care, prosthetic fitting and adjustments, assessment for complications, or management of related conditions.
The clinical responsibility involves documenting the absence of the limb(s), the cause (if known), and any associated complications or comorbidities.Further evaluation may be needed depending on the context of the encounter.
- Factors influencing health status and contact with health services
- Z89.0-Z89.9 Acquired absence of limb; further specified by laterality and level
In simple words: This code is used when a person is missing one or more limbs because they were amputated, lost due to an injury, or for other reasons.This includes situations where multiple limbs are missing.
ICD-10-CM code Z89, Acquired absence of limb, classifies the condition where one or more limbs are missing due to amputation, trauma, or other causes.This includes multiple limb amputations (e.g., double, triple, or quadruple amputation) resulting from various etiologies such as dysvascular disease or trauma.It specifically excludes congenital absence of limbs (coded elsewhere) and acquired deformities of limbs.
Example 1: A 65-year-old male patient presents for a routine follow-up visit after a below-the-knee amputation due to complications from diabetes.Code Z89.21 (Acquired absence of upper limb below elbow) may be appropriate in addition to codes describing the diabetes and the reason for the visit., A 22-year-old female patient presents to the emergency department after a traumatic motorcycle accident resulting in the loss of her right arm above the elbow.Code Z89 would be used, along with codes describing the accident and her injuries. , A 40-year-old male patient, a bilateral above-knee amputee due to a vascular condition, is seen for prosthetic fitting and assessment. Code Z89 would be used.Additional codes to specify the limb loss and further details regarding the procedure should be used.
Documentation should include details about the absence of the limb, the cause (if known, such as trauma, surgery, or congenital condition), date of loss, and any associated complications or treatment received.Relevant imaging studies or surgical reports may also be necessary.
** Z89 codes should be used in conjunction with other appropriate ICD-10 codes to capture the complete clinical picture.Consider using additional codes to specify laterality (right or left) and the level of amputation.
- Payment Status: Active
- Specialties:Orthopedics, Physical Medicine and Rehabilitation, Vascular Surgery, General Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Rehabilitation Center