E89 vs Z90
E89 (Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified) compared with Z90 (Acquired absence of organs, not elsewhere classified), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Z90 carries an Excludes2 note covering E89: “postprocedural absence of endocrine glands (E89.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| E89Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified | Z90Acquired absence of organs, not elsewhere classified | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified is a non-billable ICD-10-CM category code (E89). | Acquired absence of organs, not elsewhere classified is a non-billable ICD-10-CM category code (Z90). |
| Includes | — | postprocedural or post-traumatic loss of body part NEC |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources