M89.641
BillableOsteopathy after poliomyelitis, right hand
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 right hand.
Coding Tips
- •This code is used for post-polio sequelae affecting bone structure; ensure polio history is documented
- •Verify laterality is clearly documented as right before assigning this code
Clinical Significance
Right hand post-polio osteopathy represents chronic bone changes in the hand bones following poliomyelitis infection, potentially affecting hand function, grip strength, and fine motor skills. This condition significantly impacts activities of daily living and requires specialized hand therapy.
Documentation Requirements
- ✓Documented history of previous poliomyelitis infection
- ✓Specific identification of right hand bone involvement
- ✓Imaging evidence of post-polio osteopathic changes in hand bones
- ✓Comprehensive right hand function assessment
- ✓Grip strength and pinch strength measurements
- ✓Fine motor skills and dexterity evaluation
- ✓Activities of daily living impact assessment
- ✓Hand therapy recommendations and adaptive equipment needs
Commonly Confused Codes
G14 — Post-polio syndrome primarily affects neurological functionM25.541 — Right hand pain is symptomatic, not structural bone diseaseS62.601A — Hand fracture is acute injury, not chronic bone diseaseM19.041 — Primary hand osteoarthritis is degenerative, not post-infectiousM87.841 — Other osteonecrosis has different underlying pathophysiology
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.64Osteopathy after poliomyelitis, hand└M89.641Osteopathy after poliomyelitis, right hand
└M89.641Osteopathy after poliomyelitis, right hand