ICD-10-CM Code B97.89

Valid for Submission

B97.89 is a billable code used to specify a medical diagnosis of other viral agents as the cause of diseases classified elsewhere. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code B97.89 might also be used to specify conditions or terms like acute laryngotracheitis, acute pancreatitis due to infection, acute sialoadenitis, acute sinusitis caused by virus, acute tracheitis, acute viral laryngotracheitis, etc

The code B97.89 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

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 B97.89 are found in the index:

• - Infection, infected, infective (opportunistic) - B99.9
  • - rhinovirus
    • - as cause of disease classified elsewhere - B97.89
  • - virus, viral NOS - B34.9
    • - as cause of disease classified elsewhere - B97.89
      • - specified NEC - B97.89
    • - rhinovirus
      • - as cause of disease classified elsewhere - B97.89
    • - specified type NEC - B33.8
      • - as cause of disease classified elsewhere - B97.89

• - Virus, viral - See Also: condition;
  • - as cause of disease classified elsewhere - B97.89

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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Acute laryngotracheitis
• Acute pancreatitis due to infection
• Acute sialoadenitis
• Acute sinusitis caused by virus
• Acute tracheitis
• Acute viral laryngotracheitis
• Acute viral sialadenitis
• Arthropathy associated with viral disease
• BK virus nephropathy
• Congenital pneumonia
• Congenital viral pneumonia
• Disease due to Alphavirus
• Disease due to BK polyomavirus
• Disease due to Flaviviridae
• Disease due to Orbivirus
• Disease due to Orthomyxoviridae
• Disease due to Paramyxoviridae
• Disease due to Picornaviridae
• Disease due to Polyomaviridae
• Disease due to Poxviridae
• Disease due to Rhabdoviridae
• Disease due to Togaviridae
• Duodenal ulcer caused by virus
• Erythema multiforme caused by virus
• Febrile leukopenia
• Gastric ulcer caused by virus
• Infection causing myelitis
• Infection involving inner ear
• Infection of eye caused by Avian Paramyxovirus 1
• Infection of lacrimal gland
• Infection of lacrimal gland caused by virus
• Infection of testis and epididymis
• Infectious disorder of trachea
• Infectious disorder of trachea
• Infectious pancreatitis
• Infective epididymo-orchitis
• Infective orchitis
• Infective pneumonia acquired prenatally
• Infective sialoadenitis
• Infective ulcer of esophagus
• Influenza with laryngitis
• Labyrinthitis of left inner ear
• Labyrinthitis of right inner ear
• Mumps epididymo-orchitis
• Mumps orchitis
• Myelitis caused by virus
• Neonatal viral conjunctivitis
• Parainfluenza virus laryngitis
• Parainfluenza virus laryngotracheitis
• Parainfluenza virus pharyngitis
• Patient shedding virus
• Post-viral disorder
• Postviral infection debility
• Renal impairment caused by Polyomavirus
• Severe fever with thrombocytopenia syndrome virus
• Upper respiratory tract infection due to Influenza
• Viral acute pancreatitis
• Viral endocarditis
• Viral epiglottitis
• Viral labyrinthitis
• Viral labyrinthitis of left inner ear
• Viral labyrinthitis of right inner ear
• Viral laryngitis
• Viral postinfective arthropathy
• Viral retinitis
• Viral sinusitis
• Viral tracheitis
• Viral tracheitis
• Viral ulcer of esophagus

Diagnostic Related Groups

The ICD-10 code B97.89 is grouped in the following groups for version MS-DRG V37.0 What are 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). applicable from 10/01/2019 through 09/30/2020.

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

Convert B97.89 to ICD-9

• 079.89 - Oth specf viral infectn (Approximate Flag)
• 079.99 - Viral infection NOS (Approximate Flag)

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)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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