B97.3
B97.3 — Retrovirus as the cause of diseases classified elsewhere
Non-billable headerICD-10-CM
B97.3 is a non-billable header ICD-10-CM code for retrovirus as the cause of diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Human immunodeficiency virus [HIV] disease (B20)
Risk adjustment
B97.3 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 B97.3
7 child codes. Green means billable.
- B97.30Unspecified retrovirus as the cause of diseases classified elsewhere
- B97.31Lentivirus as the cause of diseases classified elsewhere
- B97.32Oncovirus as the cause of diseases classified elsewhere
- B97.33Human T-cell lymphotrophic virus, type I [HTLV-I] as the cause of diseases classified elsewhere
- B97.34Human T-cell lymphotrophic virus, type II [HTLV-II] as the cause of diseases classified elsewhere
- B97.35Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere
- B97.39Other retrovirus as the cause of diseases classified elsewhere
Related codes at this level
Codes that share B97. If B97.3 is not quite right, the correct code is usually one of these.
- 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
- B97.4Respiratory 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 B97.3
- Is B97.3 a billable ICD-10-CM code?
- No. B97.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does B97.3 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).
- What cannot be coded together with B97.3?
- B97.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.