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ICD-10-CM 2027 diagnosis code

B97.31Lentivirus as the cause of diseases classified elsewhere

✓ Billable / specificNot a principal dx

B97.31 is a valid, billable ICD-10-CM code for lentivirus as the cause of diseases classified elsewhere. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Lentivirus.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About B97.31

B97.31 is the ICD-10-CM diagnosis code for Lentivirus as the cause of diseases classified elsewhere. It belongs to category B97 (viral agents as the cause of diseases classified elsewhere), block B95-B97 (bacterial and viral infectious agents) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within B97.3 (retrovirus as the cause of diseases classified elsewhere), B97.31 is specifically for Lentivirus as the cause of diseases classified elsewhere. Related codes cover unspecified retrovirus as the cause of diseases classified elsewhere (B97.30), Oncovirus as the cause of diseases classified elsewhere (B97.32), human T-cell lymphotrophic virus, type I [HTLV-I] as the cause of diseases classified elsewhere (B97.33), human T-cell lymphotrophic virus, type II [HTLV-II] as the cause of diseases classified elsewhere (B97.34), human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere (B97.35) and other retrovirus as the cause of diseases classified elsewhere (B97.39).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 865 (Viral Illness with MCC, relative weight 1.3485) and DRG 866 (Viral Illness without MCC, relative weight 0.8692), in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 079.59 (other specified retrovirus).

Notes that apply from higher levels

Instructions written at a parent level also apply to B97.31.

Alphabetic index entries

5 entries

Terms in the official ICD-10-CM index that lead to B97.31.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 18 · Infectious and Parasitic Diseases, Systemic or Unspecified Sites

ICD-9-CM equivalent

Converter →
  • 079.59Other specified retrovirusapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about B97.31

Is B97.31 billable?

Yes. B97.31 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can B97.31 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is B97.31 a CC or MCC?

No. B97.31 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does B97.31 group to?

B97.31 is used in the MS-DRG v44.0 logic for MS-DRG 865 (Viral Illness with MCC) and MS-DRG 866 (Viral Illness without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for B97.31?

The CMS General Equivalence Mappings map B97.31 to ICD-9-CM 079.59.