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M89.641 vs M89.649

M89.641 (Osteopathy after poliomyelitis, right hand) compared with M89.649 (Osteopathy after poliomyelitis, unspecified hand), from the official CMS tabular data. M89.641 and M89.649 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M89.641
Right
Osteopathy after poliomyelitis, right hand
M89.649
Unspecified
Osteopathy after poliomyelitis, unspecified hand

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M89.641 and M89.649 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M89.641Osteopathy after poliomyelitis, right handM89.649Osteopathy after poliomyelitis, unspecified hand
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionOsteopathy after poliomyelitis, right hand is a billable ICD-10-CM diagnosis code (M89.641).Osteopathy after poliomyelitis, unspecified hand is a billable ICD-10-CM diagnosis code (M89.649).
Use additional code
code (B91) to identify previous poliomyelitis
code (B91) to identify previous poliomyelitis

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