M89.611
BillableOsteopathy after poliomyelitis, right shoulder
HCC Category Mapping
V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis
0.209V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.482ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.000What This Code Means
Bone changes and deterioration in the right shoulder that develop as a long-term consequence of poliomyelitis (polio) infection.
Coding Tips
- •Confirm right shoulder is documented; left shoulder would use M89.612
- •Document any functional limitations or pain associated with the post-polio osteopathy
Clinical Significance
Right shoulder post-polio osteopathy represents bone deterioration in the shoulder joint as a late consequence of poliomyelitis, potentially affecting arm function and shoulder stability. This condition requires specialized orthopedic management to preserve upper extremity function.
Documentation Requirements
- ✓Clear history of previous poliomyelitis infection
- ✓Specific documentation of right shoulder bone involvement
- ✓Current imaging showing osteopathic changes
- ✓Assessment of shoulder range of motion and strength
- ✓Pain evaluation and functional limitations
- ✓Impact on activities of daily living
- ✓Rehabilitation needs and adaptive equipment
- ✓Coordination with neurological post-polio syndrome care
Commonly Confused Codes
G14 — Post-polio syndrome affects neurological function primarilyM25.511 — Right shoulder pain is symptomatic, not structural bone diseaseM75.31 — Calcific tendinitis affects tendons, not bone structureM19.011 — Primary osteoarthritis is wear-related, not post-infectiousM87.811 — Other osteonecrosis is avascular, not post-polio
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.61Osteopathy after poliomyelitis, shoulder└M89.611Osteopathy after poliomyelitis, right shoulder
└M89.611Osteopathy after poliomyelitis, right shoulder