2025 ICD-10-CM code B97.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infectious Disease - Viral agents as the cause of diseases classified elsewhere Chapter I: Certain infectious and parasitic diseases (A00-B99) Feed
Coronavirus as the cause of diseases classified elsewhere.
Medical necessity for coding B97.2 is established through proper documentation of the patient's condition and the identification of the coronavirus as the causative agent. The underlying disease/condition needs to be medically necessary. The addition of B97.2 as a secondary code provides crucial information for epidemiological tracking and public health reporting.
The clinical responsibility for coding B97.2 lies in correctly identifying and documenting the specific disease or condition caused by the coronavirus and then appropriately adding this code as a secondary code to indicate the causative agent.The physician's role is to accurately diagnose the patient's illness and document this information thoroughly in the medical record.
- Chapter I: Certain infectious and parasitic diseases (A00-B99)
- B97 Viral agents as the cause of diseases classified elsewhere
In simple words: This code tells doctors that a coronavirus caused an illness.It's used along with a code that describes the specific illness itself. It is never the main diagnosis.
This ICD-10-CM code identifies coronavirus as the causative agent of a disease that is classified elsewhere in the ICD-10-CM coding system.It is used as a secondary code, in conjunction with the primary code representing the specific disease or condition caused by the coronavirus.This code should not be used as the principal or first-listed diagnosis. Coronaviruses are a group of viruses that can cause respiratory illnesses, gastroenteritis, and other conditions.The code may include various coronavirus strains, such as SARS-associated coronavirus, MERS-CoV, and others, depending on the specific further specification added to the code (e.g., B97.21 for SARS-associated coronavirus).
Example 1: A patient presents with pneumonia caused by a coronavirus (e.g., COVID-19).The primary code would be for pneumonia (e.g., J12.89 for other viral pneumonia), and B97.29 would be added as a secondary code to specify the causative agent., A patient is diagnosed with acute bronchitis due to coronavirus.The primary code would be J20.8 (acute bronchitis due to other specified organisms), with B97.29 added as a secondary code., A patient exhibits symptoms consistent with a lower respiratory tract infection caused by a novel coronavirus. The appropriate primary code would be selected based on the specific findings, and B97.29 would be used as a secondary code to identify the causal agent, pending specific identification of the virus.
Thorough documentation is needed, including the patient's symptoms, diagnostic testing results (such as PCR tests confirming coronavirus presence), and the physician's diagnosis of the underlying condition caused by the coronavirus.Specify the type of coronavirus if possible (e.g., SARS-CoV-2).
** Further specification of the coronavirus (e.g., B97.21 for SARS-associated coronavirus) should be used when possible and appropriate.
- Payment Status: Active
- Specialties:Infectious Disease, Pulmonology, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Urgent Care Facility