B97.4 Respiratory syncytial virus as the cause of diseases classified elsewhere

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Respiratory syncytial virus as the cause of diseases classified elsewhere is B97.4 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
B95-B97: Bacterial and viral infectious agents (B95-B97)
Category B97
25 codes (20 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to B97.4:

  • Respiratory › syncytial virus, as cause of disease classified elsewhere
  • Virus, viral › respiratory syncytial (RSV) › as cause of disease classified elsewhere
  • Infection, infected, infective (opportunistic) › virus, viral NOS › respiratory syncytial (RSV) › as cause of disease classified elsewhere
Excludes1
Not coded here. These conditions should NOT be coded together with B97.4.
  • 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)
Code First
  • related disorders, such as:
  • otitis media (H65.-)
  • upper respiratory infection (J06.9)

Inclusion Terms

  • RSV as the cause of diseases classified elsewhere

U.S. Hospital Utilization

  • An estimated 41,110 U.S. inpatient stays in 2023 included B97.4 among the documented diagnoses.
  • 100 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

HIV Infections (TOC entry)

a. Human Immunodeficiency Virus (HIV) Infections .............................................................. 19

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.a
Infectious agents causing diseases in other chapters (TOC)

b. Infectious agents as the cause of diseases classified to other chapters ................................. 22

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.b

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

Parent Code

B97 Viral agents as the cause of diseases classified elsewhere

Related Codes in B97

Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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