Z89.621
BillableAcquired absence of right hip joint
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z89.621 an HCC code?
No. Z89.621 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
Z89.621 is the ICD-10-CM diagnosis code for acquired absence of right hip joint. A person who has lost their right hip joint due to amputation or surgical removal. This is a permanent condition severely affecting mobility and requiring prosthetic devices. Z89.621 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).
Z89.621 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.
Hip disarticulation is a high-level amputation; verify documentation confirms hip joint involvement.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z89.621 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Hip disarticulation is a high-level amputation; verify documentation confirms hip joint involvement
- •Requires specialized prosthetics and rehabilitation; coordinate with orthopedic and rehabilitation services