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).

B97.1

B97.1 — Enterovirus as the cause of diseases classified elsewhere

Non-billable headerICD-10-CM

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.

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 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.

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).