2024 ICD-10-CM Diagnosis Code B95.61

Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere

ICD-10-CM Code:
B95.61
ICD-10 Code for:
Methicillin suscep staph infct causing dis classd elswhr
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Certain infectious and parasitic diseases
    (A00–B99)
    • Bacterial and viral infectious agents
      (B95-B97)
      • Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
        (B95)

B95.61 is a billable diagnosis code used to specify a medical diagnosis of methicillin susceptible staphylococcus aureus infection as the cause of diseases classified elsewhere. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bacterial osteomyelitis
  • Cellulitis caused by Staphylococcus aureus
  • Chancriform pyoderma
  • Ecthyma
  • Ecthyma
  • Ecthyma caused by Staphylococcus aureus
  • Impetigo due to Staphylococcus aureus
  • Infection by methicillin sensitive Staphylococcus aureus
  • Infection by methicillin sensitive Staphylococcus aureus
  • Infection due to Panton-Valentine leukocidin producing Staphylococcus aureus
  • Infection due to Staphylococcus aureus
  • Infection of lacrimal gland caused by bacterium
  • Neonatal infective mastitis
  • Neonatal mastitis
  • Neonatal staphylococcal mastitis
  • Neonatal Staphylococcus aureus mastitis
  • Osteomyelitis due to Staphylococcus aureus
  • Panton-Valentine leukocidin producing Staphylococcus aureus skin infection
  • Pyoderma ulcerosum tropicalum
  • Right sided infective endocarditis
  • Right-sided Staphylococcus aureus endocarditis
  • Staphylococcal endocarditis
  • Staphylococcal mastitis
  • Staphylococcal meningitis
  • Staphylococcal toxic shock syndrome
  • Staphylococcus aureus dacryoadenitis
  • Staphylococcus aureus meningitis
  • Toxic shock syndrome
  • Toxic shock syndrome due to methicillin susceptible Staphylococcus aureus

Clinical Classification

Clinical Information

  • Ecthyma

    an ulcerative pyoderma usually caused by group a beta-hemolytic streptococcal infection at the site of minor trauma. (dorland, 27th ed)
  • Ecthyma, Contagious

    an infectious dermatitis of sheep and goats, affecting primarily the muzzle and lips. it is caused by a poxvirus and may be transmitted to man.
  • Orf virus

    the type species of parapoxvirus which causes a skin infection in natural hosts, usually young sheep. humans may contract local skin lesions by contact. the virus apparently persists in soil.
  • Parapoxvirus

    a genus of the family poxviridae, subfamily chordopoxvirinae, which infect ungulates and may infect humans. orf virus is the type species.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Methicillin susceptible Staphylococcus aureus (MSSA) infection as the cause of diseases classified elsewhere
  • Staphylococcus aureus infection NOS as the cause of diseases classified elsewhere

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert B95.61 to ICD-9-CM

  • ICD-9-CM Code: 041.11 - Mth sus Stph aur els/NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Staphylococcal Infections

What are Staphylococcal (staph) infections?

Staphylococcus (staph) is a group of bacteria. There are more than 30 types. A type called Staphylococcus aureus causes most infections.

Staph bacteria can cause many different types of infections, including:

  • Skin infections, which are the most common types of staph infections.
  • Bacteremia, an infection of the bloodstream. This can lead to sepsis, a very serious immune response to infection.
  • Bone infections.
  • Endocarditis, an infection of the inner lining of the heart chambers and valves.
  • Food poisoning.
  • Pneumonia.
  • Toxic shock syndrome (TSS), a life-threatening condition caused by toxins from certain types of bacteria.

What causes staph infections?

Some people carry staph bacteria on their skin or in their noses, but they do not get an infection. But if they get a cut or wound, the bacteria can enter the body and cause an infection.

Staph bacteria can spread from person to person. They can also spread on objects, such as towels, clothing, door handles, athletic equipment, and remotes. If you have staph and do not handle food properly when you are preparing it, you can also spread staph to others.

Who is more likely to get a staph infection?

Anyone can develop a staph infection, but certain people are more likely to get one, including those who:

  • Have a chronic condition such as diabetes, cancer, vascular disease, eczema, and lung disease
  • Have a weakened immune system, such as from HIV, medicines to prevent organ rejection, or chemotherapy
  • Had surgery
  • Are in the hospital
  • Use a catheter, breathing tube, or feeding tube
  • Have an implanted device, such as a pacemaker or artificial joint or heart valve
  • Have burns, especially if they are deep or cover a large area of the body
  • Are on dialysis
  • Inject illegal drugs
  • Do contact sports, since you may have skin-to-skin contact with others or share equipment

What are the symptoms of staph infections?

The symptoms of a staph infection depend on the type of infection:

  • Skin infections can look like pimples or boils. They may be red, swollen, and painful. Sometimes there is pus or other drainage. They can turn into impetigo, which turns into a crust on the skin, or cellulitis, a swollen, red area of skin that feels hot.
  • Bone infections can cause pain, swelling, warmth, and redness in the infected area. You may also have chills and a fever.
  • Endocarditis causes some flu-like symptoms: fever, chills, and fatigue. It also causes symptoms such as rapid heartbeat, shortness of breath, and fluid buildup in your arms or legs.
  • Food poisoning typically causes nausea and vomiting, diarrhea, and fever. If you lose too many fluids, you may also become dehydrated.
  • Pneumonia symptoms include a high fever, chills, and cough that doesn't get better. You may also have chest pain and shortness of breath.
  • Toxic shock syndrome (TSS) causes high fever, sudden low blood pressure, vomiting, diarrhea, and confusion. You may have a sunburn-like rash somewhere on your body. TSS can lead to organ failure.

How are staph infections diagnosed?

Your health care provider will do a physical exam and ask about your symptoms. Often, providers can tell if you have a staph skin infection by looking at it. To check for other types of staph infections, providers may do a culture, with a skin scraping, tissue sample, stool sample, or throat or nasal swabs. There may be other tests, such as imaging tests, depending on the type of infection.

What are the treatments for staph infections?

Treatment for staph infections is antibiotics. Depending on the type of infection, the antibiotics might be a cream, ointment, medicines (to swallow), or intravenous (IV) medicine. If you have an infected wound, your provider might drain it. Sometimes you may need surgery for bone infections.

Some staph infections, such as MRSA (methicillin-resistant Staphylococcus aureus), are resistant to many antibiotics. There are still certain antibiotics that can treat these infections.

Can staph infections be prevented?

Certain steps can help to prevent staph infections:

  • Use good hygiene, including washing your hands often.
  • Don't share towels, sheets, or clothing with someone who has a staph infection.
  • It's best not to share athletic equipment. If you do need to share, make sure that it is properly cleaned and dried before you use it.
  • Practice food safety, including not preparing food for others when you have a staph infection.
  • If you have a cut or wound, keep it covered.

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.