M89.659
BillableOsteopathy after poliomyelitis, unspecified 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 thigh, but the specific side (left or right) is not documented or specified.
Coding Tips
- •Use this code only when laterality cannot be determined from the medical record
- •Query the provider if possible to obtain specific laterality information for more precise coding
Clinical Significance
Osteopathy after poliomyelitis affecting the thigh represents a chronic complication of previous polio infection, potentially causing bone deformities and functional limitations. This diagnosis is significant for risk adjustment as it indicates ongoing orthopedic complications requiring specialized care and monitoring for progression.
Documentation Requirements
- ✓Clear documentation of history of poliomyelitis infection
- ✓Evidence of osteopathy (bone disease) affecting the thigh region
- ✓Specification that laterality (right or left) is not documented or determinable
- ✓Clinical symptoms related to bone changes in the thigh area
- ✓Imaging studies showing bone abnormalities consistent with post-polio osteopathy
- ✓Documentation of functional impact on mobility or activities
- ✓Provider assessment of the relationship between current bone condition and prior polio
- ✓Evidence that this represents a sequela of poliomyelitis rather than acute condition
Commonly Confused Codes
M89.651/M89.652 — Osteopathy after poliomyelitis, right/left thigh - when laterality is actually specifiedG14 — Postpolio syndrome - neurological sequela rather than bone pathologyM89.60 — Osteopathy after poliomyelitis, unspecified site - lacks anatomic specificityM85.80 — Other specified disorders of bone density and structure, unspecified site - not specifically post-polioZ87.891 — Personal history of nicotine dependence - different type of history code
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.65Osteopathy after poliomyelitis, thigh└M89.659Osteopathy after poliomyelitis, unspecified thigh
└M89.659Osteopathy after poliomyelitis, unspecified thigh