2025 ICD-10-CM code Z89.0
(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 Chapter 21: Factors influencing health status and contact with health services Feed
Acquired absence of thumb and other finger(s).
Modifiers may be applicable depending on the specific circumstances of the encounter and the procedures performed.
Medical necessity is established by the need for evaluation, treatment, or rehabilitation related to the acquired absence of the fingers. This could include prosthetic fitting, surgical reconstruction, physical therapy, occupational therapy, or pain management.
The clinical responsibility depends on the reason for the encounter.This could involve physicians specializing in hand surgery, prosthetics, or rehabilitation, depending on the patient's needs.
- Chapter 21: Factors influencing health status and contact with health services
- Z89 (Acquired absence of limb)
In simple words: This code is for when someone is missing one or more fingers (including the thumb) on one hand because of something that happened after birth, not because they were born that way.The doctor uses this code if the missing finger(s) is the reason for the visit.
This code classifies the acquired absence of one or more fingers, including the thumb, on one hand.The absence must be acquired, meaning it is not a congenital condition.This code is used when the absence of the finger(s) is a reason for the encounter with healthcare services, such as for follow-up care, prosthetic fitting, or other related services.It is important to note that a corresponding procedural code should be used if a procedure is performed.
Example 1: A patient presents to a hand surgeon for evaluation and fitting of a prosthetic thumb after a work-related accident resulted in amputation., A patient seeks a follow-up appointment with their physician after having several fingers amputated due to a severe infection. The physician assesses the healing process and addresses any concerns., A patient visits a physical therapist for rehabilitation exercises after losing several fingers in an accident. The therapist focuses on improving range of motion and strength in the affected hand.
Detailed medical history describing the cause of the finger loss (e.g., accident, surgery, infection).Documentation of any related procedures (e.g., amputation, prosthetic fitting).Assessment of the patient's functional status and any limitations resulting from the absence of the fingers.Treatment plan and progress notes if applicable.
** This code is specifically for acquired absence of the thumb and other finger(s), differentiating it from congenital conditions or absence of other parts of the hand or arm.
- Payment Status: Active
- Specialties:Hand Surgery, Orthopedics, Plastic Surgery, Physical Medicine and Rehabilitation, Prosthetics
- Place of Service:Office, Hospital, Outpatient Clinic, Ambulatory Surgical Center, Rehabilitation Center