ICD-10 A80.39
Billable / Specific MCCOther acute paralytic poliomyelitis
About ICD-10-CM A80.39
ICD-10-CM code A80.39 represents Other acute paralytic poliomyelitis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A80). The 2026 edition of ICD-10-CM A80.39 became effective on October 1, 2025.
Coding Tips for A80.39
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
A80.39 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, MCC
codes Other acute paralytic poliomyelitis. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for A80.39
Local Coverage Determinations (LCDs) from CMS MACs that list A80.39 as a covered diagnosis.
Showing top 10 of 607 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing A80.39.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with A80.39
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Convert A80.39 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| A80.39 | 04510 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To A80.39
Other codes in section A80-A89 (Viral and prion infections of the central nervous system).
ICD-10 A80.39, Billing FAQ
Is ICD-10 code A80.39 billable? +
Yes, A80.39 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is A80.39 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with A80.39? +
Procedures frequently paired with A80.39 include: 94680, 94690, 94681, Q9953, A9585.
What ICD-9 codes does A80.39 map to? +
Per CMS GEMs, A80.39 maps to ICD-9 codes: 04510. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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