Z89.511 — Acquired absence of right leg below knee
Is Z89.511 billable?
Yes — Z89.511 is billable for FY2027. Z89.511 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z89.511 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z89.511 at a glance
| Code | Z89.511 |
|---|---|
| Description | Acquired absence of right leg below knee |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z89.511?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z89.511 directly.
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 Z89.511 group to?
Z89.511 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 Z89.511 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under Z89.51, the nearest indexed parent of Z89.511. Use them to find the family, then select the specific code.
- Absence › leg › below knee (of) (organ or part) (complete or partial)
- Absence › extremity › lower › below knee (of) (organ or part) (complete or partial)
Excludes1 — never code together — inherited from Z89
The conditions below can never be reported together with Z89.511 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z89.511 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z89.511 existed?
Z89.511 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.