2026 ICD-10-CM Diagnosis Code B97.21SARS-associated coronavirus as the cause of diseases classified elsewhere
B97.21 is a billable ICD-10-CM diagnosis code for SARS-associated coronavirus as the cause of diseases classified elsewhere. 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. The code is not accepted as a principal diagnosis by the Medicare Code Editor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Viral infection.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for B97.21.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- pneumonia due to SARS-associated coronavirus J12.81
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Coronavirus(infection)
- SARS-associated
- Infection, infected, infective(opportunistic)
- coronavirus NEC
- severe acute respiratory syndrome (SARS associated)
- Infection, infected, infective(opportunistic)
- virus, viral NOS
- as cause of disease classified elsewhere
- coronavirus
- SARS-associated
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert B97.21 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About B97.21Overview
Is B97.21 (Coronavirus as the cause of diseases classified elsewhere) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report SARS-associated coronavirus as the cause of diseases classified elsewhere on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does B97.21 group to?
On inpatient claims, SARS-associated coronavirus as the cause of diseases classified elsewhere maps to MS-DRG 865, 866, with relative weights from 0.8696 to 1.4983 depending on complications. Higher weights mean higher Medicare reimbursement.
Can B97.21 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because SARS-associated coronavirus as the cause of diseases classified elsewhere describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
What is the ICD-9 equivalent of B97.21?
Under the General Equivalence Mappings, SARS-associated coronavirus as the cause of diseases classified elsewhere converts to ICD-9-CM 079.82 (SARS assoc coronavirus). The mapping is a direct match.
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.
