Skip to content

B97.0 ICD-10-CM Code: Adenovirus as the cause of diseases classified elsewhere

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Bacterial and viral infectious agents (B95-B97)

B97.0

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Adenovirus as the cause of diseases classified elsewhere

This code indicates that an adenovirus infection is the underlying cause of another disease or condition that is being treated. It is used as a secondary code to identify the specific virus responsible when a patient has a viral infection affecting various body systems.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

Basket needed

Code Book Path

Official
B97Viral agents as the cause of diseases classified elsewhere
B97.0Adenovirus as the cause of diseases classified elsewhere

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B97.0 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B97.0 in this effective period.

Related Child Codes

Official
B97.1Enterovirus as the cause of diseases classified elsewhere
B97.2Coronavirus as the cause of diseases classified elsewhere
B97.3Retrovirus as the cause of diseases classified elsewhere
B97.4Respiratory syncytial virus as the cause of diseases classified elsewhere
B97.5Reovirus as the cause of diseases classified elsewhere

Includes

Official

ICD-10-CM does not list Includes notes for B97.0 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B97.0 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B97.0 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B97.0 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B97.0 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This is a secondary code that must be paired with a primary diagnosis code describing the actual disease or condition caused by the adenovirus (such as respiratory infection, conjunctivitis, or gastroenteritis)
Do not use this code as the primary diagnosis; it should only be used to specify the causative organism when the manifestation code alone does not fully describe the etiology

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is B97.0 an HCC code?

No. B97.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

B97.0 is the ICD-10-CM diagnosis code for adenovirus as the cause of diseases classified elsewhere. This code indicates that an adenovirus infection is the underlying cause of another disease or condition that is being treated. It is used as a secondary code to identify the specific virus responsible when a patient has a viral infection affecting various body systems. B97.0 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering bacterial and viral infectious agents (b95-b97).

B97.0 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This is a secondary code that must be paired with a primary diagnosis code describing the actual disease or condition caused by the adenovirus (such as respiratory infection, conjunctivitis, or gastroenteritis).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B97.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a secondary code that must be paired with a primary diagnosis code describing the actual disease or condition caused by the adenovirus (such as respiratory infection, conjunctivitis, or gastroenteritis)
  • Do not use this code as the primary diagnosis; it should only be used to specify the causative organism when the manifestation code alone does not fully describe the etiology

Child Codes

Code Hierarchy

More on B97.0

Related condition guides

Work B97.0 in HCC Buddy

Open B97.0 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.