B97.4 Billable Code
Respiratory syncytial virus as the cause of diseases classified elsewhere
Effective From: 10/01/2016
Chapter Classification
Chapter 1
Certain infectious and parasitic diseases (A00-B99)
Section Detail
B95-B97
Bacterial and viral infectious agents (B95-B97)
Code Hierarchy
This code is a child of B97.
Coding Guidelines & Notes
codeFirst
- related disorders, such as:
- otitis media (H65.-)
- upper respiratory infection (J06.9)
excludes1
- acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0)
- acute bronchitis due to respiratory syncytial virus (RSV) (J20.5)
- respiratory syncytial virus (RSV) pneumonia (J12.1)
OPPS Editing Flags
External Cause
No
Mental Health
No
Manifestation (Edit 89)
No
Code First Applicable This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis.
No
Unacceptable PDX (Edit 113)
Yes
PDX Exclusion Logic
- OPPS Required: No
- Bill Type Override: No
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