M89.619

Billable

Osteopathy after poliomyelitis, unspecified shoulder

HCC Category Mapping

V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis

0.209

V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis

0.482

ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis

0.000

What This Code Means

Bone changes and deterioration in the shoulder area that develop as a long-term consequence of poliomyelitis (polio) infection, but the specific side is not documented.

Coding Tips

•Use only when laterality cannot be determined; request clarification to assign M89.611 or M89.612 if possible
•This unspecified code is less preferred; strive to document right or left shoulder

Clinical Significance

Unspecified shoulder post-polio osteopathy represents bone deterioration in the shoulder region following poliomyelitis without documented laterality, potentially indicating bilateral involvement or incomplete documentation. This condition affects upper extremity function and requires comprehensive management.

Documentation Requirements

✓Clear history of previous poliomyelitis infection
✓Documentation of shoulder osteopathy without laterality specification
✓Assessment for bilateral shoulder involvement
✓Imaging studies of shoulder region showing post-polio changes
✓Functional evaluation of both upper extremities if bilateral
✓Pain assessment and activity limitations
✓Rehabilitation needs and adaptive strategies
✓Coordination with neurological post-polio syndrome care

Commonly Confused Codes

G14 — Post-polio syndrome involves neurological rather than bone pathology M25.519 — Unspecified shoulder pain is symptomatic, not structural M75.30 — Calcific tendinitis affects soft tissue structures M19.019 — Primary osteoarthritis is degenerative, not post-infectious M87.819 — Other osteonecrosis has different underlying pathophysiology

Code Hierarchy

└M89Other disorders of bone └M89.6Osteopathy after poliomyelitis └M89.61Osteopathy after poliomyelitis, shoulder └M89.619Osteopathy after poliomyelitis, unspecified shoulder

└M89.619Osteopathy after poliomyelitis, unspecified shoulder