ICD-10-CM Code B95.1

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

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

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 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code B95.1 might also be used to specify conditions or terms like fetus or newborn infection caused by streptococcus group b or group b streptococcus infection in mother complicating childbirth or invasive group b beta-hemolytic streptococcal disease or invasive streptococcal disease.

The code B95.1 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.

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

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:


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.

Synonyms

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

  • 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

Diagnostic Related Groups

The ICD-10 code B95.1 is grouped in the following groups for version MS-DRG V37.0 What are 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).
applicable from 10/01/2019 through 09/30/2020.

  • 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

  • 041.02 - Streptococcus group b

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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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