2020 ICD-10-CM Diagnosis Code B33.4

Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]

    2016 2017 2018 2019 2020 Billable/Specific Code
  • B33.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM B33.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of B33.4 - other international versions of ICD-10 B33.4 may differ.
Applicable To
  • Hantavirus disease with pulmonary manifestations
  • Sin nombre virus disease
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify any associated acute kidney failure (
    ICD-10-CM Diagnosis Code N17.9

    Acute kidney failure, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acute kidney injury (nontraumatic)
    Type 2 Excludes
    • traumatic kidney injury (S37.0-)
    N17.9
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as B33.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • hantavirus disease with renal manifestations (
    ICD-10-CM Diagnosis Code A98.5

    Hemorrhagic fever with renal syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Epidemic hemorrhagic fever
    • Korean hemorrhagic fever
    • Russian hemorrhagic fever
    • Hantaan virus disease
    • Hantavirus disease with renal manifestations
    • Nephropathia epidemica
    • Songo fever
    Type 1 Excludes
    • hantavirus (cardio)-pulmonary syndrome (B33.4)
    A98.5
    )
  • hemorrhagic fever with renal manifestations (
    ICD-10-CM Diagnosis Code A98.5

    Hemorrhagic fever with renal syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Epidemic hemorrhagic fever
    • Korean hemorrhagic fever
    • Russian hemorrhagic fever
    • Hantaan virus disease
    • Hantavirus disease with renal manifestations
    • Nephropathia epidemica
    • Songo fever
    Type 1 Excludes
    • hantavirus (cardio)-pulmonary syndrome (B33.4)
    A98.5
    )
The following code(s) above B33.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to B33.4:
  • A00-B99
    2020 ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    Includes
    • diseases generally recognized as communicable or transmissible
    Type 1 Excludes
    • certain localized infections - see body system-related chapters
    Type 2 Excludes
    • carrier or suspected carrier of infectious disease (Z22.-)
    • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
    • infectious and parasitic diseases specific to the perinatal period (P35-P39)
    • influenza and other acute respiratory infections (J00-J22)
    Use Additional
    • code to identify resistance to antimicrobial drugs (Z16.-)
    Certain infectious and parasitic diseases
Approximate Synonyms
  • Hantavirus pulmonary syndrome
ICD-10-CM B33.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 865 Viral illness with mcc
  • 866 Viral illness without mcc

Convert B33.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to B33.4:
  • Type 1 Excludes: A98.5
    ICD-10-CM Diagnosis Code A98.5

    Hemorrhagic fever with renal syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Epidemic hemorrhagic fever
    • Korean hemorrhagic fever
    • Russian hemorrhagic fever
    • Hantaan virus disease
    • Hantavirus disease with renal manifestations
    • Nephropathia epidemica
    • Songo fever
    Type 1 Excludes
    • hantavirus (cardio)-pulmonary syndrome (B33.4)

Diagnosis Index entries containing back-references to B33.4:
  • Disease, diseased - see also Syndrome
    • Hantavirus, with pulmonary manifestations B33.4
    • viral, virus B34.9
      - see also Disease, by type of virus
      ICD-10-CM Diagnosis Code B34.9

      Viral infection, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Viremia NOS
      • Hanta (with renal manifestations) (Dobrava) (Puumala) (Seoul) A98.5
        ICD-10-CM Diagnosis Code A98.5

        Hemorrhagic fever with renal syndrome

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Epidemic hemorrhagic fever
        • Korean hemorrhagic fever
        • Russian hemorrhagic fever
        • Hantaan virus disease
        • Hantavirus disease with renal manifestations
        • Nephropathia epidemica
        • Songo fever
        Type 1 Excludes
        • hantavirus (cardio)-pulmonary syndrome (B33.4)
        • with pulmonary manifestations B33.4 (Andes) (Bayou) (Bermejo) (Black Creek Canal) (Choclo) (Juquitiba) (Laguna negra) (Lechiguanas) (New York) (Oran) (Sin nombre)
      • Sin nombre B33.4 (Hantavirus) (cardio)-pulmonary syndrome)
    • sin nombre virus B33.4
  • Hantavirus disease (with renal manifestations) (Dobrava) (Puumala) (Seoul) A98.5
    ICD-10-CM Diagnosis Code A98.5

    Hemorrhagic fever with renal syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Epidemic hemorrhagic fever
    • Korean hemorrhagic fever
    • Russian hemorrhagic fever
    • Hantaan virus disease
    • Hantavirus disease with renal manifestations
    • Nephropathia epidemica
    • Songo fever
    Type 1 Excludes
    • hantavirus (cardio)-pulmonary syndrome (B33.4)
    • with pulmonary manifestations B33.4 (Andes) (Bayou) (Bermejo) (Black Creek Canal) (Choclo) (Juquitiba) (Laguna negra) (Lechiguanas) (New York) (Oran) (Sin nombre)
  • Sin Nombre virus disease B33.4 (Hantavirus) (cardio)-pulmonary syndrome)
  • Syndrome - see also Disease
    • hantavirus B33.4 (cardio)-pulmonary (HPS) (HCPS)

ICD-10-CM Codes Adjacent To B33.4
B33 Other viral diseases, not elsewhere classified
B33.0 Epidemic myalgia
B33.1 Ross River disease
B33.2 Viral carditis
B33.20 …… unspecified
B33.21 Viral endocarditis
B33.22 Viral myocarditis
B33.23 Viral pericarditis
B33.24 Viral cardiomyopathy
B33.3 Retrovirus infections, not elsewhere classified
B33.4 Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]
B33.8 Other specified viral diseases
B34 Viral infection of unspecified site
B34.0 Adenovirus infection, unspecified
B34.1 Enterovirus infection, unspecified
B34.2 Coronavirus infection, unspecified
B34.3 Parvovirus infection, unspecified
B34.4 Papovavirus infection, unspecified
B34.8 Other viral infections of unspecified site
B34.9 Viral infection, unspecified
B35 Dermatophytosis

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.