ICD-10 Code B97.4

Respiratory syncytial virus as the cause of diseases classified elsewhere

Version 2019 Billable Code Unacceptable Principal Diagnosis
ICD-10:B97.4
Short Description:Respiratory syncytial virus causing diseases classd elswhr
Long Description:Respiratory syncytial virus as the cause of diseases classified elsewhere

Valid for Submission

ICD-10 B97.4 is a billable code used to specify a medical diagnosis of respiratory syncytial virus 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.

Convert B97.4 to ICD-9

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

  • 079.6 - Resprtry syncytial virus (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms:

  • Healthcare associated respiratory syncytial virus disease
  • Respiratory syncytial virus infection
  • Respiratory syncytial virus infection
  • Respiratory syncytial virus pharyngitis

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 B97.4 are found in the index:


Information for Patients


Respiratory Syncytial Virus Infections

Also called: RSV

Respiratory syncytial virus (RSV) causes mild, cold-like symptoms in adults and older healthy children. It can cause serious problems in young babies, including pneumonia and severe breathing problems. Premature babies and those with other health problems have the highest risk. A child with RSV may have a fever, stuffy nose, cough, and trouble breathing. Lab tests can tell if your child has the virus. There is no specific treatment. You should give your child fluids to prevent dehydration. If needed, you can also give a pain reliever (not aspirin) for fever and headache.

RSV easily spreads from person to person. You can get it from direct contact with someone who has it or by touching infected objects such as toys or surfaces such as countertops. Washing your hands often and not sharing eating and drinking utensils are simple ways to help prevent the spread of RSV infection. There is currently no vaccine for RSV.

Centers for Disease Control and Prevention

  • Respiratory syncytial virus (RSV) (Medical Encyclopedia)
  • RSV antibody test (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.