Acute poliomyelitis
Chapter 1:Certain infectious and parasitic diseases
ICD-10 A80.2 is a billable code used to indicate a diagnosis of acute poliomyelitis.
Acute poliomyelitis is a viral infection caused by the poliovirus, primarily affecting the central nervous system (CNS). The disease can lead to acute flaccid paralysis, muscle weakness, and in severe cases, respiratory failure. The poliovirus is transmitted via the fecal-oral route, and the infection can manifest in various forms, ranging from asymptomatic to paralytic. The clinical presentation often includes fever, fatigue, headache, vomiting, and stiffness in the neck and back. Neurological complications arise when the virus invades the motor neurons in the spinal cord and brainstem, leading to muscle atrophy and paralysis. Vaccination plays a crucial role in preventing poliomyelitis, with the inactivated poliovirus vaccine (IPV) and oral poliovirus vaccine (OPV) being the primary preventive measures. Despite the global efforts to eradicate poliomyelitis, sporadic cases still occur, particularly in areas with low vaccination coverage. Accurate coding of acute poliomyelitis is essential for tracking disease incidence and ensuring appropriate public health responses.
Detailed neurological examination findings, including muscle strength and reflexes.
Patients presenting with acute flaccid paralysis or unexplained neurological symptoms.
Ensure comprehensive documentation of neurological deficits and their progression.
History of exposure, vaccination status, and laboratory confirmation of poliovirus.
Outbreak investigations and management of suspected poliomyelitis cases.
Documenting the epidemiological context and vaccination history is crucial.
Used for follow-up visits for patients diagnosed with acute poliomyelitis.
Document the patient's history, examination findings, and treatment plan.
Neurologists should focus on neurological assessments during follow-up.
Vaccination status is crucial as it helps determine the risk of poliomyelitis and supports the diagnosis. Incomplete vaccination may indicate a higher risk for the disease, impacting clinical management and coding.
