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Z89.211 ICD-10-CM Code: Acquired absence of right upper limb below elbow

Z89.211 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software

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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)

Z89.211

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

Acquired absence of right upper limb below elbow

The person has lost their right forearm and hand below the elbow due to amputation or surgical removal.

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
Z89.2Acquired absence of upper limb above wrist
Z89.21Acquired absence of upper limb below elbow
Z89.211Acquired absence of right upper limb below elbow

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z89.211 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z89.211 in this effective period.

Related Child Codes

Official
Z89.212Acquired absence of left upper limb below elbow
Z89.219Acquired absence of unspecified upper limb below elbow

Includes

Official

ICD-10-CM does not list Includes notes for Z89.211 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z89.211 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z89.211 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z89.211 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z89.211 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Acquired absence of right upper limb below elbow, post-amputation status. Forearm-level (below-elbow) amputation on the right.
Distinct from hand absence (Z89.11x) and above-elbow absence (Z89.22x). Below-elbow means the amputation is through the forearm.
Z89.211 does NOT map to a V28 payment HCC. Upper-limb amputation status carries no V28 coefficient; only lower-limb (foot and leg) amputations map to HCC 409.

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 Z89.211 an HCC code?

No. Z89.211 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Z89.211
Description
Acquired absence of right upper limb below elbow
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

Z89.211 is the ICD-10-CM diagnosis code for acquired absence of right upper limb below elbow. The person has lost their right forearm and hand below the elbow due to amputation or surgical removal. Z89.211 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).

Z89.211 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.

Acquired absence of right upper limb below elbow, post-amputation status. Forearm-level (below-elbow) amputation on the right.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.211 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Acquired absence of right upper limb below elbow, post-amputation status. Forearm-level (below-elbow) amputation on the right.
  • •Distinct from hand absence (Z89.11x) and above-elbow absence (Z89.22x). Below-elbow means the amputation is through the forearm.
  • •Z89.211 does NOT map to a V28 payment HCC. Upper-limb amputation status carries no V28 coefficient; only lower-limb (foot and leg) amputations map to HCC 409.

Child Codes

Z89.211Acquired absence of right upper limb below elbow
Z89.212Acquired absence of left upper limb below elbow
Z89.219Acquired absence of unspecified upper limb below elbow

Code Hierarchy

└Z89Acquired absence of limb└Z89.2Acquired absence of upper limb above wrist└Z89.21Acquired absence of upper limb below elbow└Z89.211Acquired absence of right upper limb below elbow
└Z89.211Acquired absence of right upper limb below elbow

More on Z89.211

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