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ICD-10-CM 2027 diagnosis code

Z89.4Acquired absence of toe(s), foot, and ankle

Not billable — use a more specific code

Z89.4 is a header code, so it can't be reported by itself. Choose one of the 4 more specific codes beneath it.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z89.4

Z89.4 is the ICD-10-CM diagnosis code for acquired absence of toe(s), foot, and ankle. It belongs to category Z89 (acquired absence of limb), block Z77-Z99 (persons with potential health hazards related to family and personal history and certain conditions influencing health status) and chapter 21 (factors influencing health status and contact with health services). It is a header code, so it can't be reported by itself; one of its 4 subcodes must be used instead.

Within Z89 (acquired absence of limb), Z89.4 is specifically for acquired absence of toe(s), foot, and ankle. Related codes cover thumb and other finger(s) (Z89.0), hand and wrist (Z89.1), upper limb above wrist (Z89.2), leg below knee (Z89.5), leg above knee (Z89.6) and unspecified (Z89.9).

To report this condition, pick the subcode that matches the documentation: Z89.41 (toe), Z89.42 (toe(s)), Z89.43 (foot) and Z89.44 (ankle).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Specific codes under Z89.4

Notes that apply from higher levels

Instructions written at a parent level also apply to Z89.4.

› From Z89 Acquired absence of limb
Includes
  • amputation status
  • postprocedural loss of limb
  • post-traumatic loss of limb
Excludes1
  • acquired deformities of limbs (M20-M21)
  • congenital absence of limbs (Q71-Q73)

Broader instructions also apply from Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status and Chapter 21: Factors influencing health status and contact with health services.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z89.4

Is Z89.4 billable?

No. Z89.4 is a header code. Report one of its more specific subcodes instead.