PPS Diagnosis
Question: What is the difference between the diagnosis of Post-Polio Syndrome (ICD-10 G14) and Sequelae of Poliomyelitis (ICD-10-CM B91)? My husband received a diagnosis of Post-Polio Syndrome over 10 years ago. He was hospitalized for pneumonia and his diagnosis was changed to Sequelae of Poliomyelitis. This not only seems to be inaccurate but I'm also wondering if it contributed to the delays in insurance reauthorizations.
Dr. Bruno’s Response:
For Post-Polio Syndrome/the Late Effects of Polio or Post-Polio Sequelae the ICD 10-G14 code should be used.
The CM B91 code is for ACUTE POLIO, which for most of you was like 70 years ago!
The inappropriate use of the acute polio code instead of the “late effects of polio” code has been going on for 30+ years and I have never seen it affect treatment or reimbursement. Whichever code works for payment is the one that your docs should use.