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v1.0.0
ICD-10 Guide
DiagnosesMetapneumovirus

Metapneumovirus

ICD-10 Coding for Metapneumovirus(J12.2, J21.0, B97.81)

PRIMARY SPECIALTYPediatrics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Metapneumovirus?
Essential facts and insights about Metapneumovirus

Key Clinical Considerations:

  • Cough, wheezing, fever, nasal congestion, and respiratory distress
  • PCR testing for Metapneumovirus, viral culture, and serology
  • Tachypnea, retractions, and abnormal lung sounds on auscultation

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history, presenting symptoms, diagnostic test results, and treatment plan
  • ICD-10-CM coding terminology such as 'Metapneumovirus infection' or 'Viral pneumonia'
  • Example: 'Patient presents with wheezing and fever; PCR confirms Metapneumovirus infection.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for respiratory infections; avoid using unspecified codes.
  • Common errors include misclassifying viral infections as bacterial.

Code Exclusions

Important Exclusions

  • Other viral respiratory infections like RSV or influenza
  • Codes for bacterial pneumonia or other non-viral conditions

Related ICD-10 Codes

Primary Codes
B97.89
Other viral agents as the cause of diseases classified elsewhere
J20.8
Acute bronchitis due to other specified organisms
Ancillary Codes
B97.81
Differential Codes
J12.1
J21.1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Pediatrics

Specialty Applications

  • Pediatric patients, particularly infants and young children
  • Emergency departments, outpatient clinics, and pediatric hospitals

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include specific symptoms, test results, and treatment details.

Billing considerations?

Ensure accurate coding to reflect the diagnosis and any associated conditions.