2024 ICD-10-CM Diagnosis Code B95.62

Approximate Synonyms

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

• Bacteremia caused by Gram-positive bacteria
• Bacteremia due to Methicillin resistant Staphylococcus aureus
• Bacteremia due to Staphylococcus aureus
• Community-acquired methicillin-resistant Staphylococcus aureus infection
• Meningitis caused by methicillin resistant Staphylococcus aureus
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus infection
• Methicillin resistant Staphylococcus aureus skin infection
• Methicillin-resistant Staphylococcus aureus colitis
• Methicillin-resistant Staphylococcus aureus enteritis of intestine
• Methicillin-resistant Staphylococcus aureus enteritis of small intestine
• MRSA infection of postoperative wound
• Multiple-resistant Staphylococcus aureus infection
• Postoperative wound infection
• Staphylococcal gastroenteritis
• Staphylococcal gastroenteritis
• Staphylococcal gastroenteritis
• Staphylococcal gastrointestinal tract infection
• Staphylococcal gastrointestinal tract infection
• Staphylococcal gastrointestinal tract infection
• Staphylococcal meningitis
• Staphylococcal toxic shock syndrome
• Staphylococcus aureus meningitis
• Toxic shock syndrome
• Toxic shock syndrome due to methicillin resistant Staphylococcus aureus infection

Code Edits

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

B95.62 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	18	2.0923
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	18	1.0855
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	18	0.6907

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 B95.62 to ICD-9-CM

• ICD-9-CM Code: 041.12 - MRSA elsewhere/NOS
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Antibiotic Resistance

Antibiotics are medicines that fight bacterial infections. Used properly, they can save lives. But there is a growing problem of antibiotic resistance. It happens when bacteria change and resist the effects of an antibiotic. Resistant bacteria may continue to grow and multiply.

Each time you take antibiotics there is a risk that the bacteria will become resistant. Resistant infections can be difficult and sometimes impossible to treat. They can spread to other people. Methicillin-resistant Staphylococcus aureus (MRSA) is one example. It causes infections that are resistant to several common antibiotics.

Antibiotic resistance can cause problems. To help prevent antibiotic resistance:

• Don't use antibiotics for viruses like colds or flu. Antibiotics don't work on viruses.
• Don't ask your health care provider to give you an antibiotic.
• When you take antibiotics, follow the directions carefully. Finish your medicine even if you feel better. If you stop treatment too soon, some bacteria may survive and re-infect you.
• Do not share your antibiotics with others.
• Don't save antibiotics for later or use someone else's prescription.

Centers for Disease Control and Prevention

[Learn More in MedlinePlus]

MRSA

MRSA stands for methicillin-resistant Staphylococcus aureus. It causes a staph infection (pronounced "staff infection") that is resistant to several common antibiotics. There are two types of infection. Hospital-associated MRSA happens to people in health care settings. Community-associated MRSA happens to people who have close skin-to-skin contact with others, such as athletes involved in football and wrestling.

Infection control is key to stopping MRSA in hospitals. To prevent community-associated MRSA:

• Practice good hygiene
• Keep cuts and scrapes clean and covered with a bandage until healed
• Avoid contact with other people's wounds or bandages
• Avoid sharing personal items, such as towels, washcloths, razors, or clothes
• Wash soiled sheets, towels, and clothes in hot water with bleach and dry in a hot dryer

If a wound appears to be infected, see a health care provider. Treatments may include draining the infection and antibiotics.

[Learn More in MedlinePlus]

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.