B97.4
B97.4: Respiratory syncytial virus as the cause of diseases classified elsewhere
Billable / specific codeICD-10-CM
B97.4 is a billable, specific ICD-10-CM code for respiratory syncytial virus as the cause of diseases classified elsewhere. It is valid for submission on a claim.
Check B97.4 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.
Code first
The underlying condition must be sequenced before this code.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- RSV as the cause of diseases classified elsewhere
Other codes that can never be billed with B97.4
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
B97.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A59105Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG)
Alphabetic index entries that lead here
- Respiratory›syncytial virus, as cause of disease classified elsewhere
- Virus, viral›respiratory syncytial›as cause of disease classified elsewhere
- Infection, infected, infective›virus, viral NOS›respiratory syncytial›as cause of disease classified elsewhere
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under B97
- 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
- B97.3Retrovirus 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