M89.639
BillableOsteopathy after poliomyelitis, unspecified 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 forearm 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 forearm post-polio osteopathy represents chronic bone changes in the radius and ulna following poliomyelitis without documented laterality, potentially indicating bilateral involvement or incomplete documentation. This affects forearm and hand function requiring comprehensive management.
Documentation Requirements
- ✓Clear history of previous poliomyelitis infection
- ✓Documentation of forearm osteopathy without side specification
- ✓Assessment for bilateral forearm involvement
- ✓Imaging studies showing post-polio bone changes
- ✓Bilateral forearm and hand functional evaluation if applicable
- ✓Pain assessment and activity limitations
- ✓Occupational therapy needs and adaptive equipment
- ✓Coordination with neurological post-polio syndrome management
Commonly Confused Codes
G14 — Post-polio syndrome involves neurological rather than bone pathologyM25.539 — Unspecified forearm pain is symptomatic onlyS52.509A — Unspecified forearm fracture is acute injuryM19.039 — Primary wrist osteoarthritis is degenerative, not post-infectiousM87.839 — Other osteonecrosis has different pathophysiology
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.63Osteopathy after poliomyelitis, forearm└M89.639Osteopathy after poliomyelitis, unspecified forearm
└M89.639Osteopathy after poliomyelitis, unspecified forearm