M89.612
BillableOsteopathy after poliomyelitis, left 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 left shoulder that develop as a long-term consequence of poliomyelitis (polio) infection.
Coding Tips
- •Confirm left shoulder is documented; right shoulder would use M89.611
- •Consider documenting impact on upper extremity function and any associated muscle weakness from original polio
Clinical Significance
Left shoulder post-polio osteopathy involves chronic bone changes in the left shoulder following poliomyelitis infection, potentially compromising upper extremity function and requiring ongoing orthopedic care. This represents a late sequela of infectious disease with lasting musculoskeletal impact.
Documentation Requirements
- ✓Documented history of previous poliomyelitis infection
- ✓Specific identification of left shoulder bone involvement
- ✓Imaging evidence of post-polio osteopathic changes
- ✓Functional assessment of left upper extremity
- ✓Pain quantification and impact on daily activities
- ✓Rehabilitation therapy needs and response
- ✓Assistive device requirements and mobility aids
- ✓Integration with overall post-polio syndrome management
Commonly Confused Codes
G14 — Post-polio syndrome primarily neurological, not bone pathologyM25.512 — Left shoulder pain is symptomatic presentationM75.32 — Calcific tendinitis affects soft tissue, not boneM19.012 — Primary osteoarthritis lacks post-infectious etiologyM87.812 — Other osteonecrosis has different pathophysiology