Coding and coverage · ICD-10-CM

B97 Viral agents as the cause of diseases classified elsewhere

Not billable (header)Chapter 1

Report one of the more specific codes below.

Codes under this one

  • B97.0 Adenovirus as the cause of diseases classified elsewhere
  • B97.1 Enterovirus as the cause of diseases classified elsewhereHeader
  • B97.2 Coronavirus as the cause of diseases classified elsewhereHeader
  • B97.3 Retrovirus as the cause of diseases classified elsewhereHeader
  • B97.4 Respiratory syncytial virus as the cause of diseases classified elsewhere
  • B97.5 Reovirus as the cause of diseases classified elsewhere
  • B97.6 Parvovirus as the cause of diseases classified elsewhere
  • B97.7 Papillomavirus as the cause of diseases classified elsewhere
  • B97.8 Other viral agents as the cause of diseases classified elsewhereHeader

Instructional notes

Chapter 1

Excludes2Not included here: the patient may have both; report both when both are present.
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)
Use additional codeAdd a second code for the full picture.
  • code to identify resistance to antimicrobial drugs (Z16.-)
Includes
  • diseases generally recognized as communicable or transmissible

Section B95-B97

Notes
  • These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.

Chapter 1: Certain infectious and parasitic diseases · B95-B97 Bacterial and viral infectious agents (B95-B97)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.