2025 ICD-10-CM Diagnosis Code B95

Specific Coding Applicable to Strep as the cause of diseases classified elsewhere

Non-specific codes like B95 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for strep as the cause of diseases classified elsewhere:

Patient Education

Bacterial Infections

What are bacteria?

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

There are many different types of bacteria. Most types don't make you sick. Some types are helpful. For example, "good" bacteria in your digestive system can help your body digest food and absorb vitamins and minerals. They can help protect you from getting sick. Bacteria are also used in making foods like yogurt and cheese.

But some types of bacteria can cause an infection and make you sick. They are called infectious bacteria. These bacteria can reproduce quickly in your body. Many of them give off toxins (poisons) that can damage your cells and make you sick. Other types can move into and damage your tissues. A few examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.

How do bacterial infections spread?

There are different ways that bacterial infections may spread:

• Through droplets and particles that are breathed out by someone who has the infection. You might breathe in the droplets or particles, or they could land on your mouth, nose, or eyes.
• By touching surfaces or objects that have the bacteria on them and then touching your mouth, nose, or eyes.
• Through cuts, scrapes, and skin-to-skin contact with someone who has the infection.
• From the pregnant parent to the baby during pregnancy.
• Through contaminated food or water.
• By being bitten by an infected insect or animal.
• Through sexual contact (usually vaginal, anal and oral sex) with someone who has the infection.

What are the treatments for bacterial infections?

Sometimes your immune system may be able to fight off a bacterial infection. But when you do need treatment, it will be with antibiotics.

When you take antibiotics, follow the directions carefully. Each time you take them, there is a risk that the bacteria will become resistant to the effects of the antibiotics. This is called antibiotic resistance. When this happens, the bacteria are not killed, and they continue to grow. They can cause resistant infections, which can be difficult, and sometimes impossible, to treat.

Can bacterial infections be prevented?

You can help prevent some bacterial infections by:

• Getting vaccines that protect against bacterial infections.
• Having good hygiene habits. These include washing your hands often and covering your mouth and nose when coughing or sneezing.
• Paying attention to food safety.
• Cleaning and disinfecting surfaces that your frequently touch.
• Preventing insect bites by using a U.S. Environmental Protection Agency (EPA)-registered insect repellent. when you go outdoors. If you travel to an area that has a high risk of diseases from insect bites, also wear long pants, shirts, and socks.
• Practicing safe sex. This means using a latex condom every time you have anal, vaginal, or oral sex. If your or your partner is allergic to latex, you can use polyurethane condoms.
• Avoiding close contact with people who are sick.

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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.

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Streptococcal Infections

Strep is short for Streptococcus, a type of bacteria. There are several types. Two of them cause most of the strep infections in people: group A and group B.

Group A strep causes:

• Strep throat - a sore, red throat. Your tonsils may be swollen and have white spots on them.
• Scarlet fever - an illness that follows strep throat. It causes a red rash on the body.
• Impetigo - a skin infection
• Toxic shock syndrome
• Cellulitis and necrotizing fasciitis (flesh-eating disease)

Group B strep can cause blood infections, pneumonia and meningitis in newborns. A screening test during pregnancy can tell if you have it. If you do, intravenous (IV) antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are 65 or older or already have health problems. Strep B can cause urinary tract infections, blood infections, skin infections and pneumonia in adults.

Antibiotics are used to treat strep infections.

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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.