M89.652
BillableOsteopathy after poliomyelitis, left thigh
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 complication of poliomyelitis affecting the left thigh, causing weakening or deformity of the bone in that area.
Coding Tips
- •This code is used for late effects of polio; ensure the patient has a documented history of poliomyelitis
- •The fifth character '2' specifically indicates the left thigh; verify laterality in documentation before coding
Clinical Significance
Left thigh post-polio osteopathy involves chronic bone deterioration in the left femur as a late consequence of poliomyelitis infection, potentially compromising hip and knee function and affecting overall mobility and independence. This represents a significant long-term sequela requiring comprehensive management.
Documentation Requirements
- ✓Documented history of previous poliomyelitis infection
- ✓Specific documentation of left thigh bone involvement
- ✓Current imaging showing post-polio changes in left femur
- ✓Left hip and knee functional assessment
- ✓Weight-bearing status and ambulatory capacity
- ✓Pain quantification and mobility limitations
- ✓Physical therapy recommendations and mobility aids
- ✓Coordination with comprehensive post-polio syndrome management
Commonly Confused Codes
G14 — Post-polio syndrome primarily neurological, not bone-relatedM25.552 — Left thigh pain is symptomatic presentation onlyS72.002A — Femoral fracture represents acute traumaM16.12 — Primary hip osteoarthritis lacks post-infectious etiologyM87.852 — Other osteonecrosis has different underlying mechanism
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.65Osteopathy after poliomyelitis, thigh└M89.652Osteopathy after poliomyelitis, left thigh
└M89.652Osteopathy after poliomyelitis, left thigh