2025 ICD-10-CM code Z89.1
(Active) Effective Date: N/A Revision 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 (Z00-Z99) Feed
Acquired absence of hand and wrist.
Modifiers may be applicable depending on the circumstances surrounding the event leading to the acquired absence and any procedures performed.Always refer to the latest modifier guidelines for the most up-to-date information.
The medical necessity of coding Z89.1 is established by the presence of an acquired absence of the hand and wrist that impacts the patient's health status and/or requires medical care.This necessitates appropriate documentation and clinical assessment to confirm the condition and justify the coding. The absence of the hand and wrist in this context warrants documentation and inclusion in the medical record.
The clinical responsibility for coding Z89.1 lies with the physician or other qualified healthcare provider who assesses the patient and determines the absence of the hand and wrist. This may involve a thorough history and physical examination, imaging studies (e.g., X-rays), or review of prior medical records.Proper documentation is crucial for accurate coding.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z89: Acquired absence of limb
In simple words: This code means that a person is missing a hand and wrist due to something that happened after birth, like an accident or surgery.It's used to record this missing body part as something that affects the person's health.
This code signifies the acquired absence of a hand and wrist, indicating that the condition is not congenital but rather resulted from an event such as trauma, surgery, or disease.This code is used to document the absence of the hand and wrist as a factor influencing the individual's health status and may be used in conjunction with other codes specifying the cause of the absence or associated conditions.
Example 1: A patient presents to the emergency department following a motor vehicle accident.The assessment reveals an amputation of the right hand and wrist.Z89.1 is used to code the acquired absence of the hand and wrist, and additional codes would be used to document the accident (external cause) and any associated injuries., A patient undergoes a surgical procedure for the removal of a malignant tumor involving the right hand and wrist. The procedure results in the amputation of the hand and wrist.Z89.1 is used to code the acquired absence along with codes to document the surgical procedure and diagnosis of the malignancy., A patient with a longstanding history of severe peripheral vascular disease experiences an ischemic injury leading to the eventual loss of their left hand and wrist. Z89.1 is used to document the acquired loss, with additional codes reflecting the underlying vascular disease and any associated complications.
Comprehensive medical records, including the history of the event leading to the acquired absence of the hand and wrist, physical examination findings, and any imaging studies or surgical reports, are necessary for proper coding.Documentation should clearly support the clinical findings leading to the diagnosis.
** This code is for use when the absence of the hand and wrist is an acquired condition and not present at birth.The cause of the absence should be appropriately documented in the medical record using additional codes. Always refer to the official ICD-10-CM guidelines for the most up-to-date coding information.
- Payment Status: Active
- Specialties:Orthopedics, Surgery, Plastic Surgery, Rehabilitation Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Office, Ambulatory Surgical Center