M89.649
BillableOsteopathy after poliomyelitis, unspecified 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 hand 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 hand post-polio osteopathy represents chronic bone changes in hand structures following poliomyelitis without documented laterality, potentially indicating bilateral involvement or incomplete documentation. This significantly affects hand function and independence.
Documentation Requirements
- ✓Documented history of previous poliomyelitis infection
- ✓Documentation of hand osteopathy without side specification
- ✓Assessment for bilateral hand involvement
- ✓Imaging studies showing post-polio bone changes
- ✓Bilateral hand functional evaluation if applicable
- ✓Grip strength and dexterity assessment
- ✓Activities of daily living impact evaluation
- ✓Hand therapy needs and adaptive equipment recommendations
Commonly Confused Codes
G14 — Post-polio syndrome involves neurological rather than bone pathologyM25.549 — Unspecified hand pain is symptomatic onlyS62.609A — Unspecified hand fracture is acute injuryM19.049 — Primary hand osteoarthritis is degenerative, not post-infectiousM87.849 — Other osteonecrosis has different pathophysiology
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.64Osteopathy after poliomyelitis, hand└M89.649Osteopathy after poliomyelitis, unspecified hand
└M89.649Osteopathy after poliomyelitis, unspecified hand