MCMCB Pro
Z89.212

Z89.212Acquired absence of left upper limb below elbow

Billable / specific codeICD-10-CMPOA exemptleft

Z89.212 is a billable, specific ICD-10-CM code for acquired absence of left upper limb below elbow. It is valid for submission on a claim.

Risk adjustment

Z89.212 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z89.212 is named in 5 Medicare coverage policies 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy

Related codes at this level

Codes that share Z89.21. If Z89.212 is not quite right, the correct code is usually one of these.

Questions about Z89.212

Is Z89.212 a billable ICD-10-CM code?
Yes. Z89.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z89.212 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.