B97.21
B97.21: SARS-associated coronavirus as the cause of diseases classified elsewhere
Billable / specific codeICD-10-CM
B97.21 is a billable, specific ICD-10-CM code for sars-associated coronavirus as the cause of diseases classified elsewhere. It is valid for submission on a claim.
Check B97.21 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- pneumonia due to SARS-associated coronavirus (J12.81)
Other codes that can never be billed with B97.21
Their own Excludes1 notes name this code, so the conflict is not listed above.
- B34Viral infection of unspecified site
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
B97.21 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Coronavirus›SARS-associated
- Infection, infected, infective›coronavirus NEC›severe acute respiratory syndrome(SARS associated)
- Infection, infected, infective›virus, viral NOS›as cause of disease classified elsewhere›coronavirus›SARS-associated
Code history
Unchanged in every release from FY2024 to FY2027.