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Z89.441 vs Z89.449

Z89.441 (Acquired absence of right ankle) compared with Z89.449 (Acquired absence of unspecified ankle), from the official CMS tabular data. Z89.441 and Z89.449 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

Z89.441
Right
Acquired absence of right ankle
Z89.449
Unspecified
Acquired absence of unspecified ankle

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. Z89.441 and Z89.449 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

Z89.441Acquired absence of right ankleZ89.449Acquired absence of unspecified ankle
Billing statusBillableBillable
ClassificationZ00-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)
DefinitionAcquired absence of right ankle is a billable ICD-10-CM diagnosis code (Z89.441).Acquired absence of unspecified ankle is a billable ICD-10-CM diagnosis code (Z89.449).
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