Z89.239 ICD-10-CM Code: Acquired absence of unspecified shoulder
Z89.239 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools
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)
Z89.239
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAcquired absence of unspecified shoulder
A person who has lost a shoulder and arm, but the specific side (left or right) is not documented or specified.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Acquired absence of shoulder joint following explantation of shoulder joint prosthesis, with or without presence of antibiotic-impregnated cement spacer
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z89.239 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z89.239 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Z89.239 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z89.239 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z89.239 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z89.239 in this effective period.
Buddy Documentation Tip
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 Z89.239 an HCC code?
No. Z89.239 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Z89.239
- Description
- Acquired absence of unspecified shoulder
- 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
Z89.239 is the ICD-10-CM diagnosis code for acquired absence of unspecified shoulder. A person who has lost a shoulder and arm, but the specific side (left or right) is not documented or specified. Z89.239 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).
Z89.239 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 unspecified code should be avoided; query documentation to determine laterality.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.239 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This unspecified code should be avoided; query documentation to determine laterality
- •Shoulder-level amputations are significant; ensure complete documentation of which side is affected