M89.632
BillableOsteopathy after poliomyelitis, left forearm
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 left forearm.
Coding Tips
- •This code is used for post-polio sequelae affecting bone structure; ensure polio history is documented
- •Verify laterality is clearly documented as left before assigning this code
Clinical Significance
Left forearm post-polio osteopathy involves chronic bone deterioration in the left radius and ulna as a late consequence of poliomyelitis infection, potentially compromising forearm function and hand dexterity. This represents a significant long-term sequela requiring specialized care.
Documentation Requirements
- ✓Documented history of previous poliomyelitis infection
- ✓Specific documentation of left forearm bone involvement
- ✓Current imaging showing post-polio changes in radius and ulna
- ✓Left forearm and hand functional assessment
- ✓Grip strength testing and fine motor evaluation
- ✓Pain quantification and impact on daily activities
- ✓Occupational therapy recommendations and adaptive strategies
- ✓Coordination with comprehensive post-polio syndrome care
Commonly Confused Codes
G14 — Post-polio syndrome primarily neurological, not bone-relatedM25.532 — Left forearm pain is symptomatic presentation onlyS52.502A — Forearm fracture represents acute traumaM19.032 — Primary wrist osteoarthritis lacks post-infectious etiologyM87.832 — Other osteonecrosis has different underlying pathophysiology
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.63Osteopathy after poliomyelitis, forearm└M89.632Osteopathy after poliomyelitis, left forearm
└M89.632Osteopathy after poliomyelitis, left forearm