B97
B97 — Viral agents as the cause of diseases classified elsewhere
Non-billable headerICD-10-CM
B97 is a non-billable header ICD-10-CM code for viral agents as the cause of diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with B97
These codes carry an Excludes1 note pointing at B97. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B97 alone.
- B34Viral infection of unspecified site
Risk adjustment
B97 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead B97
9 child codes. Green means billable.
- B97.0Adenovirus as the cause of diseases classified elsewhere
- B97.1Enterovirus as the cause of diseases classified elsewhere
- B97.2Coronavirus as the cause of diseases classified elsewhere
- B97.3Retrovirus as the cause of diseases classified elsewhere
- B97.4Respiratory syncytial virus as the cause of diseases classified elsewhere
- B97.5Reovirus as the cause of diseases classified elsewhere
- B97.6Parvovirus as the cause of diseases classified elsewhere
- B97.7Papillomavirus as the cause of diseases classified elsewhere
- B97.8Other viral agents as the cause of diseases classified elsewhere
Questions about B97
- Is B97 a billable ICD-10-CM code?
- No. B97 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does B97 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).