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Z89.011 ICD-10-CM Code: Acquired absence of right thumb

Z89.011 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

ICD-10-CM Code View

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Z89.011

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Acquired absence of right thumb

A patient is missing their right thumb due to amputation, injury, or surgical removal that occurred after birth.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Z89.0Acquired absence of thumb and other finger(s)
Z89.01Acquired absence of thumb
Z89.011Acquired absence of right thumb

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z89.011 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z89.011 in this effective period.

Related Child Codes

Official
Z89.012Acquired absence of left thumb
Z89.019Acquired absence of unspecified thumb

Includes

Official

ICD-10-CM does not list Includes notes for Z89.011 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z89.011 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z89.011 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z89.011 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z89.011 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code indicates an acquired (not congenital) absence; verify the thumb was lost after birth
Specify laterality (right vs left) for accurate documentation of functional limitations

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is Z89.011 an HCC code?

No. Z89.011 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Z89.011
Description
Acquired absence of right thumb
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z89.011 is the ICD-10-CM diagnosis code for acquired absence of right thumb. A patient is missing their right thumb due to amputation, injury, or surgical removal that occurred after birth. Z89.011 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).

Z89.011 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code indicates an acquired (not congenital) absence; verify the thumb was lost after birth.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.011 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code indicates an acquired (not congenital) absence; verify the thumb was lost after birth
  • Specify laterality (right vs left) for accurate documentation of functional limitations

Child Codes

Code Hierarchy

More on Z89.011

Related condition guides

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