Question 1

Is B97.4 a billable ICD-10 code?

Accepted Answer

Yes, B97.4 is a valid billable ICD-10-CM code for respiratory syncytial virus as the cause of diseases classified elsewhere. It can be used for medical billing and reimbursement purposes.

Question 2

What does ICD-10 code B97.4 mean?

Accepted Answer

ICD-10-CM code B97.4 represents Respiratory syncytial virus as the cause of diseases classified elsewhere. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code B97.4 introduced?

Accepted Answer

Code B97.4 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code B97.4?

Accepted Answer

The parent category for B97.4 is B97 (Viral agents as the cause of diseases classified elsewhere). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions are excluded from B97.4?

Accepted Answer

Code B97.4 has Type 1 Excludes (mutually exclusive conditions) including: 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). These conditions cannot be coded together with B97.4 as they represent different diagnoses.

Question 6

Can B97.4 be used as principal diagnosis?

Accepted Answer

No, B97.4 is classified as an unacceptable principal diagnosis by the Medicare Code Editor. This code describes circumstances influencing health status rather than a current illness or injury. It should be used as a secondary diagnosis code.

B97.42026

Excludes14Not coded together

Code First3Sequence another code first

Excludes24Not included here

Use Additional Code1Add code for detail

Notes2Additional information

Includes1Included conditions

Also Known As7Alternative terms

Medicare Code Editor Rules1CMS coding restrictions

Related Clinical Codes3Manifestation & etiology relationships