Z89.211
BillableAcquired absence of right upper limb below elbow
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
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.
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.
This code indicates amputation BELOW the elbow on the RIGHT side; verify the amputation level is distal to the elbow.
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.