Skip to content
HCC Buddy home

Z89.119 ICD-10-CM Code: Acquired absence of unspecified hand

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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)

Z89.119

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

Acquired absence of unspecified hand

A patient is missing an entire hand due to amputation, injury, or surgical removal after birth, but it is not specified whether it is the right or left hand.

CMS-HCC V28

N/A

—

Not mapped

CMS-HCC V24

N/A

—

Not mapped

ACA/HHS

HCC 254

Varies by metal level

ESRD/PACE

N/A

—

Not mapped

RXHCC

N/A

—

Not mapped

Code Book Path

Official
Z89.1Acquired absence of hand and wrist
Z89.11Acquired absence of hand
Z89.119Acquired absence of unspecified hand

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z89.119 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z89.119 in this effective period.

Related Child Codes

Official
Z89.111Acquired absence of right hand
Z89.112Acquired absence of left hand

Includes

Official

ICD-10-CM does not list Includes notes for Z89.119 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z89.119 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z89.119 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z89.119 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z89.119 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when laterality cannot be determined; attempt to clarify which hand is absent
This is less specific than Z89.111 or Z89.112 and should be avoided when documentation allows

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 Z89.119 an HCC code?

No. Z89.119 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Z89.119
Description
Acquired absence of unspecified hand
HCC (V28)
No CMS-HCC V28 mapping
RAF
—
Billable
Yes
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

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

What This Code Means

Z89.119 is the ICD-10-CM diagnosis code for acquired absence of unspecified hand. A patient is missing an entire hand due to amputation, injury, or surgical removal after birth, but it is not specified whether it is the right or left hand. Z89.119 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).

Z89.119 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 hand is absent.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.119 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Use this code only when laterality cannot be determined; attempt to clarify which hand is absent
  • •This is less specific than Z89.111 or Z89.112 and should be avoided when documentation allows

Child Codes

Z89.111Acquired absence of right hand
Z89.112Acquired absence of left hand
Z89.119Acquired absence of unspecified hand

Code Hierarchy

└Z89Acquired absence of limb└Z89.1Acquired absence of hand and wrist└Z89.11Acquired absence of hand└Z89.119Acquired absence of unspecified hand
└Z89.119Acquired absence of unspecified hand

More on Z89.119

Related condition guides

Work Z89.119 in HCC Buddy

Open Z89.119 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

Open in Code BookOpen in EncoderStart Pro