M89.661
BillableOsteopathy after poliomyelitis, right lower leg
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 right lower leg, causing weakening or deformity of the bone in that area.
Coding Tips
- •Confirm the patient has a documented history of poliomyelitis to justify the 'after poliomyelitis' designation
- •The fifth character '1' indicates right side; ensure this matches the clinical documentation
Clinical Significance
Right lower leg osteopathy after poliomyelitis represents a chronic bone complication from previous polio infection, potentially causing deformities and functional impairment. This diagnosis has important risk adjustment implications as it indicates ongoing orthopedic complications requiring specialized management and monitoring.
Documentation Requirements
- ✓Documentation of previous poliomyelitis infection
- ✓Evidence of osteopathy specifically affecting the right lower leg
- ✓Clinical presentation of bone changes, deformities, or functional limitations
- ✓Imaging studies confirming bone abnormalities in the right lower leg
- ✓Provider assessment linking current bone condition to prior polio infection
- ✓Documentation of impact on ambulation or lower extremity function
- ✓Evidence that this represents a sequela rather than acute condition
- ✓Assessment of progression or stability of bone changes
Commonly Confused Codes
M89.662 — Osteopathy after poliomyelitis, left lower leg - incorrect lateralityM89.669 — Osteopathy after poliomyelitis, unspecified lower leg - when laterality is actually specifiedG14 — Postpolio syndrome - neurological rather than bone manifestationM21.061 — Valgus deformity, not elsewhere classified, right lower leg - specific deformity rather than post-polio osteopathyM89.60 — Osteopathy after poliomyelitis, unspecified site - lacks anatomic specificity
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.66Osteopathy after poliomyelitis, lower leg└M89.661Osteopathy after poliomyelitis, right lower leg
└M89.661Osteopathy after poliomyelitis, right lower leg