Z89.41 vs Z89.42
Z89.41 (Acquired absence of great toe) compared with Z89.42 (Acquired absence of other toe(s)), 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. Z89.42 carries an Excludes2 note covering Z89.41: “acquired absence of great toe (Z89.41-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z89.41Acquired absence of great toe | Z89.42Acquired absence of other toe(s) | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Acquired absence of great toe is a non-billable ICD-10-CM category code (Z89.41). | Acquired absence of other toe(s) is a non-billable ICD-10-CM category code (Z89.42). |
| Includes | amputation status postprocedural loss of limb post-traumatic loss of limb | amputation status postprocedural loss of limb post-traumatic loss of limb |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources