ICD-10 Code B91 | Sequelae of poliomyelitis Symptoms, Diagnosis, Billing

Sequelae of poliomyelitis refers to the long-term effects that persist after the acute phase of poliomyelitis infection. These sequelae can include muscle weakness, paralysis, and other neurological deficits that significantly impact a patient's quality of life. Accurate coding with ICD-10 Code B91 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code B91 for Sequelae of poliomyelitis?

ICD-10 Code B91 represents the sequelae of poliomyelitis, which are the residual effects following the initial poliovirus infection. This code should be used when documenting long-term complications such as muscle weakness or paralysis that arise after the acute phase of poliomyelitis. Proper use of this code in clinical documentation and billing is crucial for accurate patient care and reimbursement.

ICD-10 Code B91 – Clinical Definition and Explanation of Sequelae of poliomyelitis

Sequelae of poliomyelitis are the lasting effects that occur after the resolution of the acute poliovirus infection. These effects can lead to significant disability and require ongoing medical attention. Understanding these sequelae is vital for effective management and rehabilitation.

Key Clinical Features:

• Muscle weakness or paralysis in affected limbs
• Fatigue and decreased endurance
• Muscle atrophy and joint deformities
• Respiratory complications due to weakened respiratory muscles

ICD-10 Code B91 for Sequelae of poliomyelitis – SOAP Notes & Clinical Use

ICD-10 Code B91 is utilized in SOAP notes to document the ongoing effects of poliomyelitis. It plays a critical role in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code B91 for Sequelae of poliomyelitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B91 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of sequelae from poliomyelitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B91 – Sequelae of poliomyelitis

Management of sequelae from poliomyelitis requires a multidisciplinary approach, focusing on rehabilitation and supportive care.

Antibiotic Therapy:

• Not applicable as sequelae are not infectious; focus on rehabilitation therapies.

Supportive Care:

• Physical therapy to improve muscle strength and function
• Occupational therapy for daily living skills
• Pain management strategies
• Nutritional support to maintain overall health

Infection Control:

• No specific infection control measures required; focus on general health maintenance.

How to Document Symptoms of Sequelae of poliomyelitis (ICD-10 B91) in SOAP Notes

Subjective:

• Patient reports persistent muscle weakness in the lower extremities
• Complaints of fatigue during daily activities
• History of respiratory difficulties
• Patient expresses concern about mobility limitations

Objective:

• Muscle strength testing reveals reduced strength in affected limbs
• Vital signs within normal limits
• Observation of muscle atrophy in the lower limbs
• Assessment of joint range of motion shows limitations

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Sequelae of poliomyelitis (ICD-10 Code B91)

Assessment:

• Diagnosis: Sequelae of poliomyelitis, moderate severity
• ICD-10 Code: B91
• Contributing factors: History of acute poliomyelitis, ongoing muscle weakness
• Triggers: Physical inactivity, fatigue

Plan:

• Initiate physical therapy regimen focusing on strength training
• Provide education on energy conservation techniques
• Schedule follow-up appointments to monitor progress
• Consider referral to occupational therapy for adaptive strategies

Treatment & Plan Section for ICD-10 Code B91 – Sequelae of poliomyelitis

• Physical therapy to enhance mobility and strength
• Occupational therapy for functional independence
• Regular monitoring of respiratory function
• Patient education on managing fatigue and mobility challenges

Using ICD-10 Code B91 for Sequelae of poliomyelitis in Billing & SOAP Note Compliance

• Ensure clear documentation of symptoms and history in Subjective (S) and Objective (O) sections
• Use B91 for billing when long-term effects of poliomyelitis are present
• Align treatment plans with clinical guidelines to support justified billing
• Document any relevant comorbidities or complications for comprehensive coding

Related ICD-10 Codes Often Used with Sequelae of poliomyelitis

• B90.0 – Sequelae of poliomyelitis, unspecified

ICD-10 Code B91 in Medical Billing and Insurance for Sequelae of poliomyelitis

ICD-10 Code B91 is critical in billing for patients with sequelae of poliomyelitis, particularly in hospital, ER, or infectious disease settings.

Billing Notes:

• Document all relevant patient history and symptoms to support the use of B91
• Use B91 in conjunction with other codes for comprehensive billing
• Ensure that treatment plans are clearly outlined in the medical record

Common CPT Pairings: