2027 ICD-10-CM Diagnosis Code B95Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
B95 is a non-billable ICD-10-CM category code for Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere, so it cannot be submitted on claims. Use a more specific code from this category instead, such as B95.0, B95.1, B95.2, and B95.3.
Code Identity
Code Classification
Specific Coding for Strep as the cause of diseases classified elsewhereOverview
Non-specific codes like B95 require more characters. Use one of these billable codes instead:
Use B95.0 for Streptococcus, group A, as the cause of diseases classified elsewhere
Use B95.1 for Streptococcus, group B, as the cause of diseases classified elsewhere
Use B95.2 for Enterococcus as the cause of diseases classified elsewhere
Use B95.3 for Streptococcus pneumoniae as the cause of diseases classified elsewhere
Use B95.4 for Other streptococcus as the cause of diseases classified elsewhere
Use B95.5 for Unspecified streptococcus as the cause of diseases classified elsewhere
B95.6 for Staphylococcus aureus as the cause of diseases classified elsewhere
Use B95.61 for Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere
Use B95.62 for Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere
Use B95.7 for Other staphylococcus as the cause of diseases classified elsewhere
Use B95.8 for Unspecified staphylococcus as the cause of diseases classified elsewhere
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to B95: its own notes plus those printed at block B95-B97 and Chapter 1. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- diseases generally recognized as communicable or transmissible
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- 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
Add a second code, after this one, to fully describe the condition.
- code to identify resistance to antimicrobial drugs (Z16.-)
Notes
General instructions on how these codes are used.
- These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name B95, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming B95: they are not reported together with it, unless the two conditions are unrelated.
- A49 Bacterial infection of unspecified site
Use Additional Code 62
These codes say to use an additional code from the note, and B95 is one of the codes named.
- A48.3 Toxic shock syndromecode to identify the organism (B95, B96)
- E06.0 Acute thyroiditis
- G06 Intracranial and intraspinal abscess and granuloma
- H65 Nonsuppurative otitis media
- I30.1 Infective pericarditis
- I33.0 Acute and subacute infective endocarditis
- I40.0 Infective myocarditis
- J01 Acute sinusitis
- J02.8 Acute pharyngitis due to other specified organisms
- J03.8 Acute tonsillitis due to other specified organisms
- J04 Acute laryngitis and tracheitis
- J05 Acute obstructive laryngitis [croup] and epiglottitis
- J06.9 Acute upper respiratory infection, unspecified
- J32 Chronic sinusitis
- J36 Peritonsillar abscess
47 more Use Additional Code notes name this code. Browse all Use Additional Code notes.
Patient EducationClinical
Bacterial Infections
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.
The full article covers:
- What are bacteria?
- How do bacterial infections spread?
- What are the treatments for bacterial infections?
- Can bacterial infections be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About B95Overview
Is B95 a billable code?
No. This is a category header that groups the codes for Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere, and headers cannot be submitted on claims. Claims for Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere need a more specific code from this category, such as B95.0, B95.1, and B95.2.