Postpolio syndrome
In Systemic atrophies primarily affecting the central nervous system (G10-G14), chapter 6: Diseases of the Nervous System
- G14 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under G10-G14 below.
- As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
- Counts toward HCC 182 (Spinal Cord Disorders/Injuries) in the Medicare Advantage risk model (CMS-HCC V28).
- AHRQ's Chronic Condition Indicator classes it as chronic: expected to last 12 months or longer and to limit daily life or need ongoing care.
- 123 US deaths in 2024 had an underlying cause in category G14, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.
Also indexed as: Postpolio syndrome; Syndrome, postpolio
Advertisements
Instructional notes
Includes: conditions that are coded here
- postpolio myelitic syndrome
Excludes1: not coded here, use a different code
- sequelae of poliomyelitis (B91)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers default dominant or nondominant side for hemiplegia and monoplegia, and use and sequencing of G89 pain codes, including postoperative, chronic, and neoplasm-related pain.
- Dominant/nondominant side (page 45)
- Pain - Category G89 (page 45)
Other codes under G10-G14
Systemic atrophies primarily affecting the central nervous system (G10-G14)
G14 MS-DRGs
As the principal diagnosis, G14 groups to MS-DRG 091, 092, or 093 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
G14 is in Other specified CNS infection and poliomyelitis (NVS003, its default category), with 31 codes. Others in it:
Medicare coverage articles listing G14
These 11 Medicare billing and coding articles list G14 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.
- Nerve Conduction Studies and Electromyography (7 contractors)
- Home Health Occupational Therapy
- Home Health Physical Therapy
- Lumbar MRI
- Outpatient Occupational Therapy
- Outpatient Physical Therapy
- Physical Therapy - Home Health
- Respiratory Care
- Swallowing Studies for Dysphagia
- High Frequency Chest Wall Oscillation Devices - Policy Article
And 1 more.
Other codes that refer to G14
Notes on these codes point to G14.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Polio and Post-Polio Syndrome
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.
Read more about polio and post-polio syndrome on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 138 Late effects of acute poliomyelitis (approximate)