ICD-10 · PDGM grouping
Z89 Acquired absence of limb
All 49 codes in the Z89 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
49
Can lead a claim
0
Cannot lead a claim
49
What CMS assigns to Z89
None of the 49 codes is assigned a clinical group. None of the 49 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z89
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Z89.0 Acquired absence of thumb and other finger(s) | ||||
| Z89.01 Acquired absence of thumb | ||||
| Z89.011 | Acquired absence of right thumb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.012 | Acquired absence of left thumb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.019 | Acquired absence of unspecified thumb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.02 Acquired absence of other finger(s) | ||||
| Z89.021 | Acquired absence of right finger(s) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.022 | Acquired absence of left finger(s) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.029 | Acquired absence of unspecified finger(s) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.1 Acquired absence of hand and wrist | ||||
| Z89.11 Acquired absence of hand | ||||
| Z89.111 | Acquired absence of right hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.112 | Acquired absence of left hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.119 | Acquired absence of unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.12 Acquired absence of wrist | ||||
| Z89.121 | Acquired absence of right wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.122 | Acquired absence of left wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.129 | Acquired absence of unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.2 Acquired absence of upper limb above wrist | ||||
| Z89.20 Acquired absence of upper limb, unspecified level | ||||
| Z89.201 | Acquired absence of right upper limb, unspecified level | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.202 | Acquired absence of left upper limb, unspecified level | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.209 | Acquired absence of unspecified upper limb, unspecified levelCMS: Acquired absence of unsp upper limb, unspecified level | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.21 Acquired absence of upper limb below elbow | ||||
| Z89.211 | Acquired absence of right upper limb below elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.212 | Acquired absence of left upper limb below elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.219 | Acquired absence of unspecified upper limb below elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.22 Acquired absence of upper limb above elbow | ||||
| Z89.221 | Acquired absence of right upper limb above elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.222 | Acquired absence of left upper limb above elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.229 | Acquired absence of unspecified upper limb above elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.23 Acquired absence of shoulder | ||||
| Z89.231 | Acquired absence of right shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.232 | Acquired absence of left shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.239 | Acquired absence of unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.4 Acquired absence of toe(s), foot, and ankle | ||||
| Z89.41 Acquired absence of great toe | ||||
| Z89.411 | Acquired absence of right great toe | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.412 | Acquired absence of left great toe | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.419 | Acquired absence of unspecified great toe | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.42 Acquired absence of other toe(s) | ||||
| Z89.421 | Acquired absence of other right toe(s) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.422 | Acquired absence of other left toe(s) | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.429 | Acquired absence of other toe(s), unspecified side | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.43 Acquired absence of foot | ||||
| Z89.431 | Acquired absence of right foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.432 | Acquired absence of left foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.439 | Acquired absence of unspecified foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.44 Acquired absence of ankle | ||||
| Z89.441 | Acquired absence of right ankle | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.442 | Acquired absence of left ankle | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.449 | Acquired absence of unspecified ankle | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.5 Acquired absence of leg below knee | ||||
| Z89.51 Acquired absence of leg below knee | ||||
| Z89.511 | Acquired absence of right leg below knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.512 | Acquired absence of left leg below knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.519 | Acquired absence of unspecified leg below knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.52 Acquired absence of knee | ||||
| Z89.521 | Acquired absence of right knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.522 | Acquired absence of left knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.529 | Acquired absence of unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.6 Acquired absence of leg above knee | ||||
| Z89.61 Acquired absence of leg above knee | ||||
| Z89.611 | Acquired absence of right leg above knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.612 | Acquired absence of left leg above knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.619 | Acquired absence of unspecified leg above knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.62 Acquired absence of hip | ||||
| Z89.621 | Acquired absence of right hip joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.622 | Acquired absence of left hip joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.629 | Acquired absence of unspecified hip joint | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z89.9 | Acquired absence of limb, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue