2026 ICD-10-CM Diagnosis Code B34.1Enterovirus infection, unspecified
ICD-10-CM Codes›A00–B99›B25-B34›B34
- Billable — Valid for Submission
- Not Chronic
B34.1 is a billable ICD-10-CM diagnosis code for enterovirus infection, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 865 through 866. Coders also document this condition as congenital coxsackie infection. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Viral infection.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Congenital coxsackie infection
- Congenital infection caused by enterovirus
- Coxsackie virus disease
- Disease caused by Enterovirus
- Echovirus disease
- Enterovirus 71 infection
- Human coxsackievirus or human echovirus
- Human echovirus infection
- Human enterovirus present
- Neonatal coxsackie virus syndrome
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Coxsackievirus infection NOS
- Echovirus infection NOS
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Coxsackie (virus) (infection) - B34.1
- Disease, diseased - See Also: Syndrome;
- coxsackie (virus) NEC - B34.1
- echovirus NEC - B34.1
- Infection, infected, infective (opportunistic) - B99.9
- unspecified nature or site - B34.1
- enterovirus - B34.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Coxsackie(virus) (infection)
- Disease, diseased
- coxsackie (virus) NEC
- Disease, diseased
- echovirus NEC
- Disease, diseased
- enteroviral, enterovirus NEC
- Disease, diseased
- nonarthropod-borne NOS (viral)
- enterovirus NEC
- Infection, infected, infective(opportunistic)
- echovirus
- unspecified nature or site
- Infection, infected, infective(opportunistic)
- enterovirus
- Infection, infected, infective(opportunistic)
- virus, viral NOS
- coxsackie
- Infection, infected, infective(opportunistic)
- virus, viral NOS
- ECHO
- unspecified nature or site
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Viral Infections
Viruses are very tiny germs. They are made of genetic material (either DNA or RNA) inside of a protein coating. There are a huge number of viruses on earth. Only a small number of them can infect humans. Those viruses can infect our cells, which may cause disease.
The full article covers:
- What are viruses?
- How are viruses spread?
- How do viruses cause disease?
- What are the treatments for viral infections?
- Can viral infections be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert B34.1 to ICD-9-CMHistory
Code HistoryHistory
Questions About B34.1Overview
Is B34.1 (Viral infection of unspecified site) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report enterovirus infection, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does B34.1 group to?
When enterovirus infection, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 865, 866, with relative weights from 0.8696 to 1.4983 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of B34.1?
Under the General Equivalence Mappings, enterovirus infection, unspecified converts to ICD-9-CM 074.8 (coxsackie virus NEC) and 079.89 (oth specf viral infectn). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
