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ICD-10 Guide
ICD-10 CodesA80.39

A80.39

Billable

Other acute paralytic poliomyelitis

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

Code Description

ICD-10 A80.39 is a billable code used to indicate a diagnosis of other acute paralytic poliomyelitis.

Key Diagnostic Point:

Acute paralytic poliomyelitis is a viral infection that primarily affects the central nervous system (CNS), leading to muscle weakness and paralysis. The condition is caused by the poliovirus, which can invade the CNS and result in varying degrees of neurological impairment. Other acute paralytic poliomyelitis refers to cases that do not fit the classic presentation of poliomyelitis or are caused by atypical strains of the virus. Symptoms may include sudden onset of weakness, loss of reflexes, and muscle atrophy. The condition can lead to long-term complications, including post-polio syndrome, characterized by new muscle weakness and fatigue years after the initial infection. Vaccination status is crucial in the prevention of poliomyelitis; individuals who are unvaccinated or under-vaccinated are at higher risk for infection. The clinical management of patients with acute paralytic poliomyelitis involves supportive care, rehabilitation, and monitoring for complications. Accurate coding is essential for tracking the incidence of poliomyelitis and ensuring appropriate healthcare resources are allocated.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise documentation of vaccination history
  • Differentiation from other neurological conditions
  • Potential for misclassification with other viral CNS infections

Audit Risk Factors

  • Inadequate documentation of vaccination status
  • Failure to specify the type of poliovirus involved
  • Misdiagnosis or confusion with other neurological disorders
  • Lack of detailed clinical findings in the medical record

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Comprehensive neurological examination findings, vaccination history, and detailed symptom description.

Common Clinical Scenarios

Patients presenting with acute onset of weakness, muscle atrophy, and neurological deficits.

Billing Considerations

Neurologists must ensure accurate differentiation from other causes of acute flaccid paralysis.

Infectious Disease

Documentation Requirements

Detailed history of exposure, vaccination status, and laboratory confirmation of poliovirus.

Common Clinical Scenarios

Outbreak investigations and management of suspected poliovirus infections.

Billing Considerations

Infectious disease specialists should document the epidemiological context of the infection.

Coding Guidelines

Inclusion Criteria

Use A80.39 When
  • According to ICD
  • 10 guidelines, A80
  • 39 should be used when the specific type of acute paralytic poliomyelitis is not classified elsewhere
  • It is essential to document the clinical findings and vaccination status to support the diagnosis

Exclusion Criteria

Do NOT use A80.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Office or other outpatient visit, established patient

Clinical Scenario

Used for follow-up visits for patients diagnosed with A80.39.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Neurologists should include neurological assessments in their documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of poliomyelitis cases, improving data accuracy and tracking of vaccination status and disease incidence.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of poliomyelitis cases, improving data accuracy and tracking of vaccination status and disease incidence.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of poliomyelitis cases, improving data accuracy and tracking of vaccination status and disease incidence.

Resources

Clinical References

  • •
    CDC Poliomyelitis Information

Coding & Billing References

  • •
    CDC Poliomyelitis Information

Frequently Asked Questions

What is the significance of vaccination status in coding A80.39?

Vaccination status is crucial as it helps determine the risk of poliomyelitis and supports the diagnosis. Accurate documentation of vaccination history can prevent misclassification and ensure appropriate coding.