MCMCB Pro
Z89.519

Z89.519Acquired absence of unspecified leg below knee

Billable / specific codeICD-10-CMPOA exemptunspecified

Z89.519 is a billable, specific ICD-10-CM code for acquired absence of unspecified leg below knee. It is valid for submission on a claim.

Risk adjustment

Z89.519 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 409 Amputation Status, Lower Limb/Amputation Complications0.598 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

Z89.519 is named in 1 Medicare coverage policy 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53064Billing and Coding: Outpatient Occupational Therapy

Related codes at this level

Codes that share Z89.51. If Z89.519 is not quite right, the correct code is usually one of these.

Questions about Z89.519

Is Z89.519 a billable ICD-10-CM code?
Yes. Z89.519 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z89.519 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.