2027 ICD-10-CM Diagnosis Code B95.4Other streptococcus as the cause of diseases classified elsewhere

ICD-10-CM Codes›A00–B99›B95-B97›B95

ICD-10-CM B95.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

B95.4 is a billable ICD-10-CM diagnosis code for other streptococcus as the cause of diseases classified elsewhere. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 867 through 869. The code is not accepted as a principal diagnosis by the Medicare Code Editor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections.

Code Identity

ICD-10-CM Code
B95.4
Billable Status
Yes — Valid for Submission
Code Describes
Other streptococcus as the cause of diseases classified elsewhere
Short Description
Oth streptococcus as the cause of diseases classd elswhr
Parent Code
B95
Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionB95-B97Bacterial and viral infectious agents
CategoryB95Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
This CodeB95.4Other streptococcus as the cause of diseases classified elsewhere

Code EditsBilling

Medicare Code Editor checks that affect claim validity for B95.4.

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.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cutaneous streptococcal ulcer
  • Ecthyma
  • Ecthyma caused by Streptococcus pyogenes
  • Endocarditis caused by Streptococcus suis
  • Infantile streptococcal infection
  • Infection by Streptococcus group C
  • Infection caused by Streptococcus equinus
  • Infection caused by Streptococcus group D
  • Infection caused by Streptococcus suis
  • Infection caused by Streptococcus viridans group
  • Maternal infection caused by Streptococcus agalactiae
  • Meningitis caused by Streptococcus agalactiae
  • Meningitis caused by Streptococcus suis
  • Neonatal dermatitis
  • Neonatal pyoderma caused by Streptococcus pyogenes
  • Neonatal pyogenic infection of skin
  • Neonatal streptococcal infection
  • Streptococcal infection of skin
  • Streptococcal meningitis
  • Streptococcus infection of the central nervous system
  • Streptococcus pyogenes infection
  • Urinary tract infection caused by Streptococcus agalactiae

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to B95.4: 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.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • 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.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • 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.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • code to identify resistance to antimicrobial drugs (Z16.-)

Notes

General instructions on how these codes are used.

From Block B95-B97 Bacterial and viral infectious agents applies to 46 codes
  • 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 B95.4, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming B95.4: they are not reported together with it, unless the two conditions are unrelated.

  • A49 Bacterial infection of unspecified site
    bacterial agents as the cause of diseases classified elsewhere (B95-B96) names B95-B96, which includes this code

Use Additional Code 64

These codes say to use an additional code from the note, and B95.4 is one of the codes named.

  • M00.2 Other streptococcal arthritis and polyarthritis
    code (B95.0-B95.2, B95.4-B95.5) to identify bacterial agent
  • A48.3 Toxic shock syndrome
    code to identify the organism (B95, B96) names B95, which includes this code
  • J95.851 Ventilator associated pneumonia
    code to identify the organism, if known (B95.-, B96.-, B97.-) names B95.-, which includes this code
  • K95.01 Infection due to gastric band procedure
    bacterial and viral infectious agents (B95.-, B96.-) names B95.-, which includes this code
  • K95.81 Infection due to other bariatric procedure
    bacterial and viral infectious agents (B95.-, B96.-) names B95.-, which includes this code
  • M71.0 Abscess of bursa
    code (B95.-, B96.-) to identify causative organism names B95.-, which includes this code
  • M71.1 Other infective bursitis
    code (B95.-, B96.-) to identify causative organism names B95.-, which includes this code
  • M72.6 Necrotizing fasciitis
    code (B95.-, B96.-) to identify causative organism names B95.-, which includes this code
  • M72.8 Other fibroblastic disorders
    code to (B95.-, B96.-) identify causative organism names B95.-, which includes this code
  • O23 Infections of genitourinary tract in pregnancy
    code to identify organism (B95.-, B96.-) names B95.-, which includes this code
  • E06.0 Acute thyroiditis
    code (B95-B97) to identify infectious agent. names B95-B97, which includes this code
  • G00.2 Streptococcal meningitis
    code to further identify organism (B95.0-B95.5) names B95.0-B95.5, which includes this code
  • G06 Intracranial and intraspinal abscess and granuloma
    code (B95-B97) to identify infectious agent. names B95-B97, which includes this code
  • H65 Nonsuppurative otitis media
    infectious agent (B95-B97) names B95-B97, which includes this code
  • I30.1 Infective pericarditis
    code (B95-B97) to identify infectious agent names B95-B97, which includes this code

49 more Use Additional Code notes name this code. Browse all Use Additional Code notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INF003
Bacterial infections
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Streptococcal Infections

Strep is short for Streptococcus, a type of bacteria that often lives in your nose and throat. Most strep infections are mild, but some may become serious depending on your overall health.

The full article covers:

  • What are streptococcal infections?
  • How do streptococcal infections spread?
  • Who is more likely to get a streptococcal infection?
  • What are the symptoms of streptococcal infections?
  • How are streptococcal infections diagnosed?
  • What are the treatments for streptococcal infections?
  • Can streptococcal infections be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert B95.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
041.09 Other streptococcus
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About B95.4Overview

What is the ICD-10 code for other streptococcus as the cause of diseases classified elsewhere?

The ICD-10-CM code for other streptococcus as the cause of diseases classified elsewhere is B95.4 (sometimes written as B954). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is B95.4 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other streptococcus as the cause of diseases classified elsewhere on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does B95.4 group to?

On inpatient claims, other streptococcus as the cause of diseases classified elsewhere maps to MS-DRG 867, 869, 868, with relative weights from 0.6784 to 2.1855 depending on complications. Higher weights mean higher Medicare reimbursement.

Can B95.4 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because other streptococcus as the cause of diseases classified elsewhere describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

What is the ICD-9 equivalent of B95.4?

Under the General Equivalence Mappings, other streptococcus as the cause of diseases classified elsewhere converts to ICD-9-CM 041.09 (other streptococcus). The mapping is approximate, so confirm the match fits the documentation.