B97.1 — Enterovirus as the cause of diseases classified elsewhere
B97.1 is a non-billable header ICD-10-CM code for enterovirus 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 B97.1
These codes carry an Excludes1 note pointing at B97.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B97.1 alone.
- B34Viral infection of unspecified site
Risk adjustment
B97.1 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 history
B97.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead B97.1
4 child codes. Green means billable.
Related codes at this level
Codes that share B97. If B97.1 is not quite right, the correct code is usually one of these.
- B97.0Adenovirus 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 B97.1
- Is B97.1 a billable ICD-10-CM code?
- No. B97.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does B97.1 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).