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Z90.49

Z90.49: Acquired absence of other specified parts of digestive tract

Billable / specific codeICD-10-CMPOA exempt

Z90.49 is a billable, specific ICD-10-CM code for acquired absence of other specified parts of digestive tract. It is valid for submission on a claim.

Check Z90.49 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Z90.49

A category’s note binds every code beneath it.

Written on Z90: Acquired absence of organs, not elsewhere classified

  • congenital absence - see Alphabetical Index

Excludes2 inherited from the categories above Z90.49

Not part of this code, but both may be coded when both are present.

Written on Z90: Acquired absence of organs, not elsewhere classified

  • postprocedural absence of endocrine glands (E89.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z90.49 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

  • Absence›duodenum(acquired)
  • Absence›gallbladder(acquired)
  • Absence›ileum(acquired)
  • Absence›intestine(acquired) (small)
  • Absence›jejunum(acquired)
  • Status›cholecystectomy
  • Status›colectomy(complete) (partial)
  • Absence›digestive organ or tract, congenital›acquired NEC
  • Absence›esophagus›acquired(partial)
  • Absence›intestine›large
  • Absence›rectum›acquired

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z90.4

ICD-10-CMFY2027· effective October 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.