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ICD-10 Guide
ICD-10 CodesB92

B92

Sequelae of poliomyelitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B92 is a billable code used to indicate a diagnosis of sequelae of poliomyelitis.

Key Diagnostic Point:

B92 is the ICD-10-CM code designated for sequelae of poliomyelitis, which refers to the long-term effects and complications that arise following an initial poliovirus infection. Poliomyelitis, commonly known as polio, can lead to various neurological impairments, muscle weakness, and other sequelae that persist long after the acute phase of the illness has resolved. Patients may experience residual paralysis, muscle atrophy, and post-polio syndrome, which can significantly impact their quality of life. The clinical significance of B92 lies in its ability to capture these chronic conditions for appropriate management and treatment planning.

  • The usage of B92 is essential for healthcare providers to accurately document the ongoing effects of poliomyelitis in patients who have survived the acute infection. This code is particularly relevant for rehabilitation specialists, neurologists, and primary care physicians who manage the long-term care of polio survivors. Proper coding with B92 ensures that patients receive appropriate care and that healthcare providers are reimbursed for the services rendered. It is important to note that B92 should be used in conjunction with other codes that specify the nature and extent of the sequelae experienced by the patient.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of sequelae
  • Need for detailed patient history
  • Potential for overlapping conditions

Audit Risk Factors

  • Inadequate documentation of sequelae
  • Misuse of related codes
  • Failure to specify the nature of the sequelae

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Rehabilitation Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of B92 extends beyond individual patient care, influencing quality measures and population health initiatives aimed at improving outcomes for polio survivors. As awareness of the long-term effects of poliomyelitis increases, healthcare systems are better equipped to address the needs of this unique patient population. The identification and coding of sequelae using B92 play a critical role in healthcare analytics, allowing for the tracking of trends and the allocation of resources to improve care delivery.
Administratively, accurate coding with B92 helps healthcare organizations understand the prevalence of polio-related sequelae within their patient populations, guiding the development of targeted programs and interventions. Furthermore, as healthcare trends shift towards value-based care, the ability to demonstrate the impact of sequelae management on patient outcomes becomes increasingly important for securing funding and support for ongoing initiatives aimed at improving the lives of polio survivors.

ICD-9 vs ICD-10

The clinical impact of B92 extends beyond individual patient care, influencing quality measures and population health initiatives aimed at improving outcomes for polio survivors. As awareness of the long-term effects of poliomyelitis increases, healthcare systems are better equipped to address the needs of this unique patient population. The identification and coding of sequelae using B92 play a critical role in healthcare analytics, allowing for the tracking of trends and the allocation of resources to improve care delivery. Administratively, accurate coding with B92 helps healthcare organizations understand the prevalence of polio-related sequelae within their patient populations, guiding the development of targeted programs and interventions. Furthermore, as healthcare trends shift towards value-based care, the ability to demonstrate the impact of sequelae management on patient outcomes becomes increasingly important for securing funding and support for ongoing initiatives aimed at improving the lives of polio survivors.

Reimbursement & Billing Impact

reimbursement. It is essential to use modifiers when necessary to indicate the complexity of the patient's condition and the extent of services provided. Additionally, understanding the payer's policies regarding coverage for rehabilitation services related to sequelae of poliomyelitis can help avoid claim denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for B92

Coding & Billing References

  • •
    Official ICD-10 Guidelines for B92

Frequently Asked Questions

What conditions are included in B92?

B92 covers various long-term effects of poliomyelitis, including muscle weakness, paralysis, and post-polio syndrome, which may manifest as fatigue, pain, and functional impairments.

When should I use B92 codes?

B92 should be used when documenting the long-term effects of poliomyelitis in patients who have previously been diagnosed with the condition and are experiencing sequelae that require ongoing management.

What documentation is required for B92?

Documentation should include a detailed patient history of poliomyelitis, descriptions of the sequelae being treated, and any relevant clinical findings that support the diagnosis.