M89.669 ICD-10-CM Code: Osteopathy after poliomyelitis, unspecified lower leg
M89.669 maps to CMS-HCC V28 92. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other osteopathies (M86-M90)
M89.669
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOsteopathy after poliomyelitis, unspecified lower leg
Bone disease that develops as a complication of poliomyelitis affecting the lower leg, but the specific side (left or right) is not documented or specified.
Buddy Insight
Unspecified lower leg osteopathy after poliomyelitis represents a chronic bone complication from previous polio infection with potential for ongoing functional impairment.
CMS-HCC V28
MappedHCC 92
Code-level coefficient reference
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 055
Code-level coefficient reference
ESRD/PACE
MappedHCC 39
Code-level coefficient reference
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for M89.669. Check the code and parent instructions in the Code Book.
Excludes 2
Official- arthropathic psoriasis (L40.5-)Inherited from M00-M99
- certain conditions originating in the perinatal period (P04-P96)Inherited from M00-M99
- certain infectious and parasitic diseases (A00-B99)Inherited from M00-M99
- compartment syndrome (traumatic) (T79.A-)Inherited from M00-M99
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from M00-M99
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from M00-M99
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from M00-M99
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from M00-M99
- neoplasms (C00-D49)Inherited from M00-M99
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from M00-M99
Related Codes
Includes
OfficialNo Includes notes are included in this display for M89.669. Check the code and parent instructions in the Code Book.
Excludes 1
Official- postprocedural osteopathies (M96.-)Inherited from M86-M90, M89.6
- postpolio syndrome (G14)Inherited from M86-M90, M89.6
Code First
OfficialNo Code First sequencing instructions are included in this display for M89.669. Check the code and parent instructions in the Code Book.
Use Additional
Official- code (B91) to identify previous poliomyelitisInherited from M89.6
Code Also
OfficialNo Code Also instructions are included in this display for M89.669. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is M89.669 an HCC code?
Yes. M89.669 (Osteopathy after poliomyelitis, unspecified lower leg) maps to HCC 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.479. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.
Coder answer: M89.669 is billable and maps to V28 HCC 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- M89.669
- Description
- Osteopathy after poliomyelitis, unspecified lower leg
- HCC (V28)
- HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
- RAF reference coefficient
- 0.479
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work M89.669 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for M89.669
For M89.669, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
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What This Code Means
M89.669 is the ICD-10-CM diagnosis code for osteopathy after poliomyelitis, unspecified lower leg. Bone disease that develops as a complication of poliomyelitis affecting the lower leg, but the specific side (left or right) is not documented or specified. M89.669 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other osteopathies (m86-m90).
Under the CMS-HCC V28 risk adjustment model, M89.669 maps to Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis (HCC 92) with a source-labeled community, non-dual, aged reference coefficient of 0.479. No V24 mapping is shown for M89.669; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.
This is a less specific code; attempt to obtain laterality information from the provider when possible. For M89.669, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for M89.669 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a less specific code; attempt to obtain laterality information from the provider when possible
- •Use only when the medical record does not specify which lower leg is affected
Clinical Significance
Unspecified lower leg osteopathy after poliomyelitis represents a chronic bone complication from previous polio infection with potential for ongoing functional impairment. This diagnosis has risk adjustment significance as it indicates complex orthopedic sequelae requiring specialized care and long-term monitoring.
Documentation Requirements
- ✓Documentation of previous poliomyelitis infection in patient history
- ✓Evidence of osteopathy affecting the lower leg region
- ✓Specification that laterality (right or left) is not documented or determinable
- ✓Clinical presentation of bone changes or functional limitations in lower leg
- ✓Imaging studies showing bone abnormalities consistent with post-polio changes
- ✓Provider assessment linking current bone condition to prior polio infection
- ✓Documentation of impact on ambulation or lower extremity function
- ✓Evidence that this represents a late complication rather than acute condition
Commonly Confused Codes
- •M89.661/M89.662: Osteopathy after poliomyelitis, right/left lower leg - when laterality is actually specified
- •G14: Postpolio syndrome - neurological rather than bone manifestation
- •M89.60: Osteopathy after poliomyelitis, unspecified site - lacks anatomic specificity to lower leg
- •M21.069: Valgus deformity, not elsewhere classified, unspecified lower leg - specific deformity rather than general osteopathy
- •M25.561/M25.562: Pain in knee - symptom rather than underlying bone pathology