B97.4

Respiratory syncytial virus as the cause of diseases classified elsewhere

Billable / specific

B97.4 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • RSV as the cause of diseases classified elsewhere

Includes (from B97)

  • diseases generally recognized as communicable or transmissible
  • Note: These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.

Excludes1

Not coded here — never report together with this code.

  • 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)

Excludes2

Not included here — may be reported together when both conditions exist.

  • carrier or suspected carrier of infectious disease (Z22.-) (from B97)
  • certain localized infections - see body system-related chapters (from B97)
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-) (from B97)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39) (from B97)
  • influenza and other acute respiratory infections (J00-J22) (from B97)

Code first

Sequence the underlying condition first.

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

Use additional code

Add a code to identify the following, if applicable.

  • code to identify resistance to antimicrobial drugs (Z16.-) (from B97)

Also known as

  • RSV as the cause of diseases classified elsewhere
  • Infection, infected, infective, virus, viral NOS, respiratory syncytial, as cause of disease classified elsewhere
  • Respiratory, syncytial virus, as cause of disease classified elsewhere
  • Virus, viral, respiratory syncytial, as cause of disease classified elsewhere

Parent code

  • B97Viral agents as the cause of diseases classified elsewhereHeader

Related codes

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

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