G14: Postpolio syndrome
G14 is a billable, specific ICD-10-CM code for postpolio syndrome. It is valid for submission on a claim.
Check G14 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- sequelae of poliomyelitis (B91)
Includes
Conditions this code covers.
- postpolio myelitic syndrome
Other codes that can never be billed with G14
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
G14 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
G14 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52494High Frequency Chest Wall Oscillation Devices - Policy Article
- A52510Mechanical In-exsufflation Devices - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Alphabetic index entries that lead here
- Postpolio syndrome(myelitic)
- Syndrome›postpolio(myelitic)
Code history
Unchanged in every release from FY2024 to FY2027.