B97.89

bkudsk

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Provider coded J06.9 Viral URI as first listed. B97.89 was secondary which is correct. But no test was done to determine the virus. Question is: Is B97.89 a known viral agent?
 

CodingKing

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ICD-10-CM Guideline I.A.9.a

Codes titled “other” or “other specified” are for use when theinformation in the medical record provides detail for which a specific code does not exist.
 

lilleyea

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So just to be clear on this matter of B97.89, If the doctor only states "viral URI" for example, without any further documentation on what the virus is, then would it be appropriate to code B97.89 which states "other viral agents as the cause of diseases classified elsewhere"? To me, stating other would mean that the documentation would need to specify what the other viral agent was. My thinking is that it should be only coded as J06.9, as that category does not even indicate to use the additional B95-B97 code. Does anyone else have an opinion on this matter?
 
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