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Z89.111

Billable

Acquired absence of right hand

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Z89.111 an HCC code?

No. Z89.111 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

Z89.111 is the ICD-10-CM diagnosis code for acquired absence of right hand. A patient is missing their entire right hand due to amputation, injury, or surgical removal that occurred after birth. Z89.111 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).

Z89.111 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 loss of the entire hand; use finger-specific codes (Z89.021, Z89.022) if only partial fingers are absent.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.111 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code indicates loss of the entire hand; use finger-specific codes (Z89.021, Z89.022) if only partial fingers are absent
  • Document the level of amputation (wrist, forearm, etc.) in addition to this code for complete clinical picture

Code Hierarchy

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