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B97.4

B97.4Respiratory 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.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0)
  • acute bronchitis due to respiratory syncytial virus (RSV) (J20.5)
  • respiratory syncytial virus (RSV) pneumonia (J12.1)

Code first

The underlying condition must be sequenced before this code.

  • related disorders, such as:
  • otitis media (H65.-)
  • upper respiratory infection (J06.9)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • RSV as the cause of diseases classified elsewhere

Risk adjustment

B97.4 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.

Medicare coverage

B97.4 is named in 2 Medicare coverage policies 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A59105Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG)
  • A60187Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG)

How B97.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to B97.4.

  • Respiratorysyncytial virus, as cause of disease classified elsewhere
  • Virus, viralrespiratory syncytialas cause of disease classified elsewhere
  • Infection, infected, infectivevirus, viral NOSrespiratory syncytialas cause of disease classified elsewhere

Related codes at this level

Codes that share B97. If B97.4 is not quite right, the correct code is usually one of these.

Questions about B97.4

Is B97.4 a billable ICD-10-CM code?
Yes. B97.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does B97.4 sit in the tabular list?
Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).
What cannot be coded together with B97.4?
B97.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.