ICD-10 Code B97.19

Other enterovirus as the cause of diseases classified elsewhere

Version 2019 Billable Code Unacceptable Principal Diagnosis
ICD-10:B97.19
Short Description:Oth enterovirus as the cause of diseases classd elswhr
Long Description:Other enterovirus as the cause of diseases classified elsewhere

Valid for Submission

ICD-10 B97.19 is a billable code used to specify a medical diagnosis of other enterovirus as the cause of diseases classified elsewhere. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Bacterial and viral infectious agents (B95-B97)
      • Viral agents as the cause of diseases classified elsewhere (B97)

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code B97.19 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 865 - VIRAL ILLNESS WITH MCC
  • 866 - VIRAL ILLNESS WITHOUT MCC

Convert B97.19 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 079.89 - Oth specf viral infectn (Approximate Flag)

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code B97.19 are found in the index:


Information for Patients


Viral Infections

Viruses are very tiny germs. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox, and Ebola.

Viruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage, or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system, or blood.

When you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.

For most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases.

  • ECHO virus (Medical Encyclopedia)
  • Enterovirus D68 (Medical Encyclopedia)
  • Hand-foot-mouth disease (Medical Encyclopedia)
  • Herpangina (Medical Encyclopedia)
  • Molluscum contagiosum (Medical Encyclopedia)
  • Parainfluenza (Medical Encyclopedia)
  • Roseola (Medical Encyclopedia)
  • Zika virus disease (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.