ICD-10 Code B95.1

Streptococcus, group B, as the cause of diseases classified elsewhere

Version 2019 Billable Code Unacceptable Principal Diagnosis
ICD-10:B95.1
Short Description:Streptococcus, group B, causing diseases classd elswhr
Long Description:Streptococcus, group B, as the cause of diseases classified elsewhere

Valid for Submission

ICD-10 B95.1 is a billable code used to specify a medical diagnosis of streptococcus, group b, as the cause of diseases classified elsewhere. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

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

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 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.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code B95.1 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
  • 868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
  • 869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Convert B95.1 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 041.02 - Streptococcus group b

Synonyms

The following clinical terms are approximate synonyms:

  • Fetus or newborn infection caused by Streptococcus group B
  • Group B streptococcus infection in mother complicating childbirth
  • Invasive Group B beta-hemolytic streptococcal disease
  • Invasive streptococcal disease

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code B95.1 are found in the index:


Information for Patients


Streptococcal Infections

Also called: Strep

Strep is short for Streptococcus, a type of bacteria. There are two types: 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, I.V. antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are elderly 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.

NIH: National Institute of Allergy and Infectious Diseases

  • Ecthyma (Medical Encyclopedia)
  • Erysipelas (Medical Encyclopedia)
  • Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
  • Group B streptococcus - pregnancy (Medical Encyclopedia)
  • Perianal streptococcal cellulitis (Medical Encyclopedia)
  • Rheumatic fever (Medical Encyclopedia)
  • Scarlet fever (Medical Encyclopedia)
  • Strep throat (Medical Encyclopedia)
  • Streptococcal screen (Medical Encyclopedia)
  • Throat swab culture (Medical Encyclopedia)
  • Toxic shock syndrome (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.