M89.662
BillableOsteopathy after poliomyelitis, left 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 left lower leg, causing weakening or deformity of the bone in that area.
Coding Tips
- •Document the history of poliomyelitis in the patient record to support this post-polio complication code
- •The fifth character '2' indicates left side; verify laterality is clearly documented
Clinical Significance
Left lower leg osteopathy after poliomyelitis represents a chronic skeletal complication from previous polio infection, with potential for progressive bone deformities and functional limitations. This diagnosis is significant for risk adjustment as it indicates ongoing specialized orthopedic care needs and monitoring requirements.
Documentation Requirements
- ✓Clear documentation of history of poliomyelitis infection
- ✓Evidence of osteopathy specifically affecting the left lower leg
- ✓Clinical symptoms of bone changes, weakness, or deformity in left lower leg
- ✓Imaging confirmation of bone abnormalities consistent with post-polio osteopathy
- ✓Provider assessment establishing connection between current condition and prior polio
- ✓Documentation of functional impact on mobility and activities
- ✓Evidence that this represents a late sequela of poliomyelitis
- ✓Assessment of disease progression and treatment needs
Commonly Confused Codes
M89.661 — Osteopathy after poliomyelitis, right lower leg - incorrect lateralityM89.669 — Osteopathy after poliomyelitis, unspecified lower leg - when laterality is actually documentedG14 — Postpolio syndrome - neurological manifestation rather than bone pathologyM21.062 — Valgus deformity, not elsewhere classified, left lower leg - specific deformity code rather than post-polio osteopathyM89.9 — Disorder of bone, unspecified - lacks specificity to post-polio etiology
Code Hierarchy
└M89Other disorders of bone└M89.6Osteopathy after poliomyelitis└M89.66Osteopathy after poliomyelitis, lower leg└M89.662Osteopathy after poliomyelitis, left lower leg
└M89.662Osteopathy after poliomyelitis, left lower leg