2024 ICD-10-CM Diagnosis Code B91

Sequelae of poliomyelitis

ICD-10-CM Code:
ICD-10 Code for:
Sequelae of poliomyelitis
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Certain infectious and parasitic diseases
    • Sequelae of infectious and parasitic diseases
      • Sequelae of poliomyelitis

B91 is a billable diagnosis code used to specify a medical diagnosis of sequelae of poliomyelitis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

B91 is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like e of poliomyelitis. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bilateral osteopathy of feet following poliomyelitis
  • Late effects of poliomyelitis
  • Late effects of poliomyelitis
  • Neurogenic bladder as late effect of poliomyelitis
  • Osteopathy of left foot following poliomyelitis
  • Osteopathy of left foot following poliomyelitis
  • Osteopathy of right foot following poliomyelitis
  • Osteopathy of right foot following poliomyelitis
  • Paresis as late effect of poliomyelitis
  • Poliomyelitis osteopathy of the ankle and/or foot
  • Poliomyelitis osteopathy of the ankle and/or foot
  • Poliomyelitis osteopathy of the ankle and/or foot

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Sequela of specified infectious disease conditionsINF011Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Sequela of specified nervous system conditionsNVS022N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • postpolio syndrome G14

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Present on Admission (POA)

B91 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert B91 to ICD-9-CM

  • ICD-9-CM Code: 138 - Late effect acute polio
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Polio and Post-Polio Syndrome

What is polio?

Polio, or poliomyelitis, is a disease that spreads from person to person. It is caused by the poliovirus. The virus attacks the nervous system. In serious cases, it can cause paralysis (where you can't move parts of the body). The paralysis may be lifelong and can sometimes be life-threatening.

Because of vaccines, polio is rare in the United States. But polio does occur in some parts of the world, and travelers can spread the virus.

How does polio spread?

The poliovirus is very contagious. It spreads through contact with:

  • The stool (poop) of person who has the infection
  • Droplets from a sneeze or cough of someone who has the infection

This contact can happen if:

  • You get contaminated stool or droplets on your hands and then touch your mouth
  • A child puts contaminated toys or other objects into their mouth
  • You share food or utensils with someone who has the infection

People who have the infection can spread it to others just before and up to several weeks after the symptoms appear. People who don't have symptoms can still spread the virus to others and make them sick.

Who is more likely to develop polio?

Polio mainly affects children under age 5. But people of any age (including adults) who are unvaccinated are at risk of developing polio. People who live in or travel to areas where there is polio are more likely to get polio.

What are the symptoms of polio?

Most people who get infected with poliovirus do not have any symptoms. But one out of four people who get polio will have flu-like symptoms. These symptoms usually last 2 to 5 days, and they include:

  • Sore throat
  • Fever
  • Fatigue
  • Nausea
  • Headache
  • Stomach pain

In rare cases, polio can be very serious. It can lead to:

  • Meningitis, an infection of the covering of your spinal cord and/or brain.
  • Weakness or paralysis in your arms, legs, or both. This paralysis or weakness can last a lifetime. It is possible for the paralysis to become life-threatening if it affects the muscles that you use to breathe.
  • Post-polio syndrome (PPS), which happens later in life.

What is post-polio syndrome (PPS)?

Post-polio syndrome (PPS) is a condition that affects polio survivors many years after they recovered from polio. It usually happens 15-40 years later. It is not contagious.

People who get PPS start having new weakening in muscles that were previously affected by the polio infection. Symptoms may range from mild to serious. The symptoms of PPS include:

  • Muscle weakness
  • Muscle atrophy (wasting away of muscles)
  • Loss of muscle function
  • Mental and physical fatigue
  • Joint pain
  • Curving of the spine (scoliosis)

PPS is rarely life-threatening, but the symptoms can interfere with your daily life.

How is polio diagnosed?

If you think you or someone in your family has symptoms of polio, call your healthcare provider right away or go to an emergency room.

To find out if you or your child has polio, the provider:

  • Will do a physical exam.
  • Will take a detailed medical history, including your vaccination history and history of any recent travel.
  • Will collect samples of body fluids, such as stool, saliva, blood, urine, and spinal fluid. Poliovirus is most likely to be detected in stool specimens.
  • May do an MRI to look at pictures of the spinal cord.

What are the treatments for polio and post-polio syndrome (PPS)?

There is no cure or specific treatment for polio. For a mild case, getting rest and drinking plenty of liquids may help with some of the symptoms.

If the polio is more serious, you or your child may need:

  • Physical or occupational therapy to help with arm or leg weakness. The earlier therapy is started, the better.
  • Pain relievers to help with pain and treat fever. If your child is sick, do not give them aspirin unless their provider tells you to.
  • A ventilator to help with breathing if the breathing muscles are weak or paralyzed.

There is no cure for PPS. Treatments may help you manage your symptoms. They include:

  • Non-fatiguing exercises (exercises that do not cause pain or fatigue that lasts more than 10 minutes). These exercises may improve muscle strength and reduce tiredness. Your provider can help you figure out which exercises are best for you.
  • Mobility aids.
  • Ventilation equipment.
  • Lifestyle changes, such as eating a healthy diet, getting enough sleep, and not smoking.

Can polio be prevented?

There are two types of vaccine that can prevent polio:

  • Inactivated poliovirus vaccine (IPV) given as an injection in the leg or arm, depending on how old you are. Since 2000, this has been the only polio vaccine used in the United States.
  • Oral poliovirus vaccine (OPV) is given as drops in the mouth. It is still used throughout much of the world.

Children in the United States get four doses of PV as part of their routine childhood immunizations. Most adults in the United States were vaccinated against polio as children.

There is a one-time IPV booster. It may be given to adults who have completed their polio vaccinations but are at higher risk of contact with poliovirus. You may be at higher risk if you are:

  • Traveling to a country where the risk of getting polio is greater
  • Working in a laboratory or healthcare setting and handling samples that might contain polioviruses
  • A healthcare worker who has contact with patients who could have polio

Another way to help prevent the spread of polio is to wash your hands often with soap and water. Alcohol-based hand sanitizers will not kill poliovirus.

Centers for Disease Control and Prevention

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.


[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.