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Home/Diagnosis/ICD-10 Coding for Viral Upper Respiratory Tract Infection

ICD-10 Coding for Viral Upper Respiratory Tract Infection

J06.9
B97.4

Complete ICD-10-CM coding and documentation guide for icd-10 coding for viral upper respiratory tract infection includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Viral URI
Viral Upper Respiratory Infection
viral urti
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Key Information: ICD-10 Coding for Viral Upper Respiratory Tract Infection

Essential facts and insights about ICD-10 Coding for Viral Upper Respiratory Tract Infection

Use ICD-10 code J06.9 for acute upper respiratory infection, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute upper respiratory infection, unspecified

Billable Code
J06.9
Billable

Diagnostic Criteria

clinical:
  • • Presence of viral symptoms without bacterial indicators
documentation:
  • • Detailed symptom documentation and negative bacterial tests

Applicable To

  • • Viral upper respiratory tract infection

Important Notes

  • • Ensure documentation specifies 'viral' to justify the use of B97.8.

Respiratory syncytial virus as the cause of diseases classified elsewhere

Billable Code
B97.4
Billable

Diagnostic Criteria

clinical:
  • • Positive RSV test result

Applicable To

  • • RSV infection

Important Notes

  • • Ensure RSV is confirmed via testing before using this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

B97.8

Other viral agents as cause of diseases classified elsewhere

Use to specify viral etiology when no specific virus is identified.

Frequently Asked Questions

What is the ICD-10 code for viral upper respiratory tract infection?

The ICD-10 code for a viral upper respiratory tract infection is J06.9, often used with B97.8 to specify viral etiology.

When should B97.8 be used with J06.9?

B97.8 should be used with J06.9 when the viral etiology is documented but no specific virus is identified.

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