Valid for Submission
B95.4 is a billable diagnosis code used to specify a medical diagnosis of other streptococcus as the cause of diseases classified elsewhere. The code B95.4 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code B95.4 might also be used to specify conditions or terms like cutaneous streptococcal ulcer, ecthyma, ecthyma caused by streptococcus pyogenes, infection by streptococcus group c, infection due to streptococcus equinus , infection due to streptococcus group d, etc.
The code B95.4 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.
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 B95.4 are found in the index:
- - Infection, infected, infective (opportunistic) - B99.9
- - Streptococcus, streptococcal - See Also: condition;
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cutaneous streptococcal ulcer
- Ecthyma caused by Streptococcus pyogenes
- Infection by Streptococcus group C
- Infection due to Streptococcus equinus
- Infection due to Streptococcus group D
- Infection due to Streptococcus viridans group
- Maternal infection caused by Streptococcus agalactiae
- Meningitis caused by Streptococcus agalactiae
- Streptococcal infection of skin
- Streptococcal meningitis
- Streptococcus infection of the central nervous system
- Ulcerative impetigo
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|867||OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC||18||2.2295|
|868||OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC||18||1.0584|
|869||OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC||18||0.726|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert B95.4 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code B95.4 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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.
[Learn More in MedlinePlus]