ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 A80.4

Billable / Specific

Acute nonparalytic poliomyelitis

A80
Block
0
Synonyms
570
LCDs
7
Payer Policies
2
Linked CPTs

About ICD-10-CM A80.4

ICD-10-CM code A80.4 represents Acute nonparalytic poliomyelitis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A80). The 2026 edition of ICD-10-CM A80.4 became effective on October 1, 2025.

Medicare LCD Coverage for A80.4

Local Coverage Determinations (LCDs) from CMS MACs that list A80.4 as a covered diagnosis.

570 LCDs

Showing top 10 of 570 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72149 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87555 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87653 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87486 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87626 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 0109U →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A80.4.

7 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Lumbar MRI
Policy ID: ART-57206
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58710
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58720
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58747

CPT Codes Commonly Billed with A80.4

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • Q9953 CMS LCD: Billing and Coding: Lumbar MRI CMS LCD
  • A9585 CMS LCD: Billing and Coding: Lumbar MRI CMS LCD

Convert A80.4 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
A80.4 04520 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To A80.4

Other codes in section A80-A89 (Viral and prion infections of the central nervous system).

A80 Acute poliomyelitis (non-billable) A80.0 Acute paralytic poliomyelitis, vaccine-associated A80.1 Acute paralytic poliomyelitis, wild virus, imported A80.2 Acute paralytic poliomyelitis, wild virus, indigenous A80.3 Acute paralytic poliomyelitis, other and unspecified (non-billable) A80.30 Acute paralytic poliomyelitis, unspecified A80.39 Other acute paralytic poliomyelitis A80.9 Acute poliomyelitis, unspecified A81 Atypical virus infections of central nervous system (non-billable) A81.0 Creutzfeldt-Jakob disease (non-billable) A81.00 Creutzfeldt-Jakob disease, unspecified A81.01 Variant Creutzfeldt-Jakob disease A81.09 Other Creutzfeldt-Jakob disease A81.1 Subacute sclerosing panencephalitis A81.2 Progressive multifocal leukoencephalopathy A81.8 Other atypical virus infections of central nervous system (non-billable) A81.81 Kuru A81.82 Gerstmann-Straussler-Scheinker syndrome A81.83 Fatal familial insomnia A81.89 Other atypical virus infections of central nervous system

ICD-10 A80.4, Billing FAQ

Is ICD-10 code A80.4 billable? +

Yes, A80.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with A80.4? +

Procedures frequently paired with A80.4 include: Q9953, A9585.

What ICD-9 codes does A80.4 map to? +

Per CMS GEMs, A80.4 maps to ICD-9 codes: 04520. 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 June 1, 2026.

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