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ICD-10 Coding for Post-Polio Syndrome(G14, B91)

Complete ICD-10-CM coding and documentation guide for Post-Polio Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

PPSPostpolio Sequelae

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Related ICD-10 Code Ranges

Complete code families applicable to Post-Polio Syndrome

G14Primary Range

Postpolio syndrome

This code is used for new neuromuscular symptoms occurring after a stable period following acute poliomyelitis.

B91

Sequelae of poliomyelitis

This code is used for residual effects from the initial polio infection, not for new symptoms of post-polio syndrome.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G14Postpolio syndromeUse when new neuromuscular symptoms appear after a stable period following acute poliomyelitis.
  • EMG showing chronic denervation
  • History of acute polio
  • Exclusion of other conditions like ALS
B91Sequelae of poliomyelitisUse for residual effects from the initial polio infection, not for new symptoms.
  • Stable deficits since acute illness
  • No new neurological decline

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for post-polio syndrome

Essential facts and insights about Post-Polio Syndrome

The ICD-10 code for post-polio syndrome is G14, used for new symptoms after a stable period post-polio.

Primary ICD-10-CM Codes for post polio syndrome

G14
Postpolio syndrome
Billable Code

Decision Criteria

clinical Criteria

  • New neuromuscular symptoms after a stable period post-polio

coding Criteria

  • Do not use with B91 due to Excludes1 note

documentation Criteria

  • Document history of polio, stable period, and new symptoms

Applicable To

  • New muscle weakness
  • Fatigue
  • Pain unrelated to prior deficits

Excludes

  • B91 - Sequelae of poliomyelitis

Clinical Validation Requirements

  • EMG showing chronic denervation
  • History of acute polio
  • Exclusion of other conditions like ALS

Code-Specific Risks

  • Confusing with B91 for residual effects
  • Not documenting the stable period and new symptoms

Coding Notes

  • Ensure documentation specifies the onset of new symptoms after a stable period.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Muscle wasting and atrophy, not elsewhere classified

M62.50
Use for muscle wasting associated with post-polio syndrome.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Sequelae of poliomyelitis

B91
Use B91 for stable residual effects from the initial polio infection, not for new symptoms.

Postpolio syndrome

G14
Use G14 for new symptoms after a stable period post-polio.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Post-Polio Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G14.

Impact

Clinical: Misdiagnosis of PPS., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure detailed patient history is recorded.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use G14 for new symptoms occurring after a stable period post-polio.

Impact

Using G14 and B91 together despite Excludes1 note.

Mitigation Strategy

Educate coders on Excludes1 note implications.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Post-Polio Syndrome, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Post-Polio Syndrome

Use these documentation templates to ensure complete and accurate documentation for Post-Polio Syndrome. These templates include all required elements for proper coding and billing.

Neurology Progress Note for PPS

Specialty: Neurology

Required Elements

  • History of acute polio
  • Stable period duration
  • Onset of new symptoms
  • Diagnostic tests
  • Exclusion of other diagnoses

Example Documentation

Subjective: Increased difficulty rising from chairs ×6mo, worsening despite PT. Denies fasciculations. Stable until 2019 per prior records. Objective: Strength: Hip flexors 3/5 bilaterally (4/5 in 2020). EMG: Chronic denervation L3-L4 without acute changes. MRI: No cord compression. Assessment: G14 (Postpolio syndrome) with functional decline. Plan: Orthotics Rx; exclude metabolic myopathy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Weakness from old polio
Good Documentation Example
New onset proximal leg weakness (2/5) and daytime fatigue unresponsive to rest, beginning 22 yrs after 1963 paralytic polio. Prior baseline: independent ambulation until 2022.
Explanation
The good example specifies new symptoms, their onset, and the stable period, providing clear evidence for PPS coding.

Need help with ICD-10 coding for Post-Polio Syndrome? Ask your questions below.

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