MCMedicalCodingSoftware
B97.35

B97.35: Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere

Billable / specific codeICD-10-CM

B97.35 is a billable, specific ICD-10-CM code for human immunodeficiency virus, type 2 [hiv 2] as the cause of diseases classified elsewhere. It is valid for submission on a claim.

Check B97.35 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above B97.35

A category’s note binds every code beneath it.

Written on B97.3: Retrovirus as the cause of diseases classified elsewhere

  • Human immunodeficiency virus [HIV] disease (B20)

Other codes that can never be billed with B97.35

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • B34Viral infection of unspecified site

Risk adjustment

B97.35 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 1 HIV/AIDS0.301 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

B97.35 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55717Billing and Coding: Lab: Flow Cytometry
  • A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
  • A56464Billing and Coding: Flow Cytometry
  • A56795Billing and Coding: Erythropoiesis Stimulating Agents (ESAs)

Alphabetic index entries that lead here

  • Human›immunodeficiency virus›type-2 as cause of disease classified elsewhere(HIV 2)
  • Retrovirus, as cause of disease classified elsewhere›human›immunodeficiency, type 2(HIV 2)
  • Infection, infected, infective›retrovirus›as cause of disease classified elsewhere›human›immunodeficiency, type 2(HIV 2)
  • Infection, infected, infective›virus, viral NOS›as cause of disease classified elsewhere›human›immunodeficiency, type 2(HIV 2)
  • Infection, infected, infective›virus, viral NOS›as cause of disease classified elsewhere›retrovirus›human›immunodeficiency, type 2(HIV 2)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under B97.3

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.