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2025 ICD-10-CM code A80.1

Acute paralytic poliomyelitis due to imported wild virus.

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Do not use this code for postpolio syndrome (G14) or sequelae of poliomyelitis (B91).

Medical necessity for services related to A80.1 is established by the diagnosis of acute paralytic poliomyelitis due to imported wild virus.This includes diagnostic testing, treatment for symptoms, and rehabilitation services.

Clinicians should diagnose based on symptoms (weakness, fever, muscle aches, loss of reflexes, decreased movement, loss of muscle tone, pins and needles sensation, muscle atrophy) and neurological examination. Lab tests of blood, stool, and cerebrospinal fluid (CSF) can detect poliovirus antibodies.Reverse transcriptase–polymerase chain reaction (RTPCR) is a specific lab test.MRI of the spinal cord, electromyography, and spinal tap may also be performed. Treatment focuses on symptomatic relief (analgesics for pain) and rehabilitation therapy for paralysis.Patient education on vaccination is crucial.

In simple words: Acute paralytic poliomyelitis (polio) is a contagious viral disease that affects the nervous system. This specific code indicates the polio is caused by a wild poliovirus that has been brought in from another area where polio is still common. Polio mainly affects young children and can cause paralysis.

Acute paralytic poliomyelitis caused by wild poliovirus that has been imported from a region where the disease is still prevalent.This is a highly contagious viral disease affecting the nervous system, primarily in children under 5. Transmission occurs mainly through the fecal-oral route.

Example 1: A 3-year-old child who recently immigrated to the US from a country with endemic polio presents with fever, muscle weakness, and paralysis in the legs.Lab tests confirm acute paralytic poliomyelitis due to wild poliovirus., A traveler returning from a polio-endemic region develops symptoms consistent with poliomyelitis, including paralysis.Subsequent testing confirms a diagnosis of acute paralytic poliomyelitis caused by imported wild virus. , An unvaccinated individual is exposed to a family member who recently traveled to a country with circulating wild poliovirus.The individual develops acute paralytic poliomyelitis.

Documentation should include symptoms, physical exam findings (including neurological exam), lab results confirming poliovirus infection (e.g., RT-PCR, antibody testing), and details about any travel to or contact with individuals from polio-endemic regions. Any procedures performed (e.g., MRI, electromyography, spinal tap) should also be documented.

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