Z89.019
BillableAcquired absence of unspecified thumb
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z89.019 an HCC code?
No. Z89.019 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z89.019 is the ICD-10-CM diagnosis code for acquired absence of unspecified thumb. A patient is missing a thumb due to amputation, injury, or surgical removal after birth, but it is not specified whether it is the right or left thumb. Z89.019 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).
Z89.019 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.
Use this code only when laterality cannot be determined; attempt to clarify which thumb is absent.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.019 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.