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

ICD-10 B91

Billable / Specific

Sequelae of poliomyelitis

B91
Block
0
Synonyms
620
LCDs
21
Payer Policies
136
Linked CPTs

About ICD-10-CM B91

ICD-10-CM code B91 represents Sequelae of poliomyelitis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B91). The 2026 edition of ICD-10-CM B91 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with B91. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • postpolio syndrome (G14)

Medicare LCD Coverage for B91

Local Coverage Determinations (LCDs) from CMS MACs that list B91 as a covered diagnosis.

620 LCDs

Showing top 10 of 620 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B91.

21 policies

1 Aetna

Chest Physiotherapy and Airway Clearance Devices - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0067

2 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

High Frequency Chest Wall Oscillation Devices - Policy Article
Policy ID: ART-52494
Mechanical In-exsufflation Devices - Policy Article
Policy ID: ART-52510
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064

CPT Codes Commonly Billed with B91

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

136 linkages
  • 95860 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95874 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95937 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • G0255 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95861 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95913 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95887 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95863 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95873 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95909 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD

Convert B91 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
B91 138 10000

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

ICD-10 B91, Billing FAQ

Is ICD-10 code B91 billable? +

Yes, B91 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for B91? +

Type 1 Excludes (never code together with B91): postpolio syndrome (G14)

What CPT codes are commonly billed with B91? +

Procedures frequently paired with B91 include: 95860, 95874, 95937, G0255, 95861.

What ICD-9 codes does B91 map to? +

Per CMS GEMs, B91 maps to ICD-9 codes: 138. 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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