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Compare/A84 vs B91

A84 vs B91

A84 (Tick-borne viral encephalitis) compared with B91 (Sequelae of poliomyelitis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. A84 carries an Excludes1 note covering B91: “sequelae of poliomyelitis (B91)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

A84Tick-borne viral encephalitisB91Sequelae of poliomyelitis
Billing statusNon-billable header

Report instead: A84.0, A84.1, A84.81, A84.89, A84.9

Billable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)
DefinitionTick-borne viral encephalitis is a non-billable ICD-10-CM category code (A84).Sequelae of poliomyelitis is a billable ICD-10-CM diagnosis code (B91).
Includes
tick-borne viral meningoencephalitis
Code first
condition resulting from (sequela) the infectious or parasitic disease

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources