ICD-10 Coding for History of Polio(Z86.12, B91, G14)
Complete ICD-10-CM coding and documentation guide for History of Polio. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Polio
Z86.1-Z86.19Primary Range
Personal history of infectious and parasitic diseases
This range includes codes for personal history of infectious diseases, including polio.
Sequelae of infectious and parasitic diseases
This range includes sequelae of infectious diseases, such as sequelae of poliomyelitis.
Postpolio syndrome
This code is used for post-polio syndrome, a condition that can occur years after the initial polio infection.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.12 | Personal history of poliomyelitis | Use when documenting a resolved history of polio without current symptoms. |
|
| B91 | Sequelae of poliomyelitis | Use when there are active sequelae from past poliomyelitis. |
|
| G14 | Postpolio syndrome | Use for new symptoms developing years after initial polio infection. |
|
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 history of polio
Essential facts and insights about History of Polio
Primary ICD-10-CM Codes for history of polio
Decision Criteria
documentation Criteria
- History of polio with no current symptoms
Applicable To
- History of resolved poliomyelitis
Clinical Validation Requirements
- Documented history of poliomyelitis with no current symptoms or sequelae
Code-Specific Risks
- Misuse for active sequelae or post-polio syndrome
Coding Notes
- Ensure documentation clearly states the history is resolved with no current sequelae.
B91 - Sequelae of poliomyelitis
Use when there are active sequelae from past poliomyelitis.
Applicable To
- Chronic paralysis due to poliomyelitis
Excludes
- Postpolio syndrome (G14)
Clinical Validation Requirements
- Documented physical sequelae such as paralysis or limb deformity
Coding Notes
Do not use with G14 due to Excludes1 note.
G14 - Postpolio syndrome
Use for new symptoms developing years after initial polio infection.
Applicable To
- New muscle weakness occurring years after polio
Excludes
- Sequelae of poliomyelitis (B91)
Clinical Validation Requirements
- EMG showing chronic denervation
- Exclusion of other neuromuscular conditions
Coding Notes
Ensure documentation supports new onset of symptoms post-polio.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Polio to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.12.
Impact
Clinical: Misrepresentation of patient's current condition, Regulatory: Non-compliance with coding guidelines, Financial: Potential for denied claims
Mitigation Strategy
Review documentation for active symptoms, Ensure correct code selection based on current condition
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Violation of Excludes1 note, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use G14 only when post-polio syndrome is present.
Impact
Using history code for active sequelae or post-polio syndrome.
Mitigation Strategy
Regular training on differentiating codes and reviewing documentation.
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 History of Polio, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Polio
Use these documentation templates to ensure complete and accurate documentation for History of Polio. These templates include all required elements for proper coding and billing.
Post-polio syndrome diagnosis
Specialty: NeurologyRequired Elements
- History of present illness
- Physical examination findings
- Diagnostic studies
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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