M89.629
BillableOsteopathy after poliomyelitis, unspecified upper arm
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 disease that develops as a long-term consequence of polio infection, affecting the upper arm when the specific side is not documented.
Coding Tips
- •Use this code only when documentation does not specify right or left side
- •Query provider if laterality can be determined from clinical context or imaging reports
Clinical Significance
Unspecified upper arm post-polio osteopathy represents chronic bone changes in the humeral region following poliomyelitis without documented laterality, potentially indicating bilateral involvement or incomplete documentation. This affects upper extremity function and requires comprehensive management.
Documentation Requirements
- ✓Documented history of previous poliomyelitis infection
- ✓Documentation of upper arm osteopathy without side specification
- ✓Assessment for bilateral upper arm involvement
- ✓Imaging studies showing post-polio bone changes
- ✓Bilateral upper extremity functional evaluation if applicable
- ✓Pain assessment and activity limitations
- ✓Rehabilitation therapy needs and goals
- ✓Coordination with neurological post-polio syndrome management
Commonly Confused Codes
G14 — Post-polio syndrome involves neurological rather than bone pathologyM25.529 — Unspecified upper arm pain is symptomatic onlyM75.30 — Shoulder conditions affect joint, not humeral boneS42.309A — Unspecified humeral fracture is acute injuryM87.829 — Other osteonecrosis has different underlying pathophysiology
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.62Osteopathy after poliomyelitis, upper arm└M89.629Osteopathy after poliomyelitis, unspecified upper arm
└M89.629Osteopathy after poliomyelitis, unspecified upper arm