ICDcodes.org
FY2027

Z89.429Acquired absence of other toe(s), unspecified side

BillableUnspecified

Is Z89.429 billable?

Yes, but Z89.429 is an unspecified code. Z89.429 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, Z89.429 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting Z89.429 — the more specific alternatives are listed below.

Z89.429 at a glance

CodeZ89.429
DescriptionAcquired absence of other toe(s), unspecified side
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z89.429?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z89.429 directly.

Cannot be a principal diagnosis — MCE edit 9

CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.

Which MS-DRGs does Z89.429 group to?

Z89.429 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 951Other Factors Influencing Health Statusmedical

How is Z89.429 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under Z89.42, the nearest indexed parent of Z89.429. Use them to find the family, then select the specific code.

  • Absencetoe (of) (organ or part) (complete or partial)

Excludes1 — never code together — inherited from Z89

The conditions below can never be reported together with Z89.429 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • acquired deformities of limbs (M20-M21)
  • congenital absence of limbs (Q71-Q73)

Excludes2 — not included here — inherited from Z89.42

The conditions below are not part of Z89.429, but a patient may have both at the same time. When documentation supports it, Z89.429 and the excluded code may both be reported.

  • acquired absence of great toe (Z89.41-)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z89.429 is sequenced first depends on the reason for the encounter.

  • any follow-up examination (Z08-Z09)

How long has Z89.429 existed?

Z89.429 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the Z89.42 family? (2)