2027 ICD-10-CM Diagnosis Code B95.7Other staphylococcus as the cause of diseases classified elsewhere
B95.7 is a billable ICD-10-CM diagnosis code for other staphylococcus 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for B95.7.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Bacterial ventriculitis
- Infection caused by coagulase-negative Staphylococcus
- Infection caused by glycopeptide intermediate Staphylococcus aureus
- Infection caused by glycopeptide intermediate/resistant Staphylococcus aureus
- Infection caused by glycopeptide resistant Staphylococcus aureus
- Infection caused by Staphylococcus epidermidis
- Infection caused by vancomycin intermediate Staphylococcus aureus
- Infection caused by vancomycin intermediate/resistant Staphylococcus aureus
- Infection caused by vancomycin resistant Staphylococcus aureus
- Infection caused by vancomycin resistant Staphylococcus aureus, coagulase positive
- Infective ventriculitis
- Neonatal infective mastitis
- Neonatal inflammation of breast caused by Staphylococcus
- Neonatal mastitis
- Neonatal Staphylococcus epidermidis mastitis
- Perinatal coagulase-negative staphylococcus
- Perinatal staphylococcal infection
- Staphylococcal mastitis
- Staphylococcal meningitis
- Staphylococcus epidermidis meningitis
- Staphylococcus epidermidis ventriculitis
- Ventriculitis of the brain
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to B95.7: 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.
- 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.
- 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.
- code to identify resistance to antimicrobial drugs (Z16.-)
Notes
General instructions on how these codes are used.
- 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 B95.7, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming B95.7: they are not reported together with it, unless the two conditions are unrelated.
- A49 Bacterial infection of unspecified site
Use Additional Code 64
These codes say to use an additional code from the note, and B95.7 is one of the codes named.
- A48.3 Toxic shock syndromecode to identify the organism (B95, B96) names B95, which includes this code
- J95.851 Ventilator associated pneumoniacode to identify the organism, if known (B95.-, B96.-, B97.-) names B95.-, which includes this code
- K95.01 Infection due to gastric band procedurebacterial and viral infectious agents (B95.-, B96.-) names B95.-, which includes this code
- K95.81 Infection due to other bariatric procedurebacterial and viral infectious agents (B95.-, B96.-) names B95.-, which includes this code
- M71.0 Abscess of bursacode (B95.-, B96.-) to identify causative organism names B95.-, which includes this code
- M71.1 Other infective bursitiscode (B95.-, B96.-) to identify causative organism names B95.-, which includes this code
- M72.6 Necrotizing fasciitiscode (B95.-, B96.-) to identify causative organism names B95.-, which includes this code
- M72.8 Other fibroblastic disorderscode to (B95.-, B96.-) identify causative organism names B95.-, which includes this code
- O23 Infections of genitourinary tract in pregnancycode to identify organism (B95.-, B96.-) names B95.-, which includes this code
- E06.0 Acute thyroiditis
- G00.3 Staphylococcal meningitis
- G06 Intracranial and intraspinal abscess and granuloma
- H65 Nonsuppurative otitis media
- I30.1 Infective pericarditis
- I33.0 Acute and subacute infective endocarditis
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.
Staphylococcus, staphylococcal See Also: condition;
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Staphylococcal Infections
Staphylococcus (staph) is a group of bacteria. There are more than 30 types. A type called Staphylococcus aureus causes most infections.
The full article covers:
- What are Staphylococcal (staph) infections?
- What causes staph infections?
- Who is more likely to get a staph infection?
- What are the symptoms of staph infections?
- How are staph infections diagnosed?
- What are the treatments for staph infections?
- Can staph infections be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert B95.7 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About B95.7Overview
What is the ICD-10 code for other staphylococcus as the cause of diseases classified elsewhere?
The ICD-10-CM code for other staphylococcus as the cause of diseases classified elsewhere is B95.7 (sometimes written as B957). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is B95.7 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other staphylococcus as the cause of diseases classified elsewhere on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does B95.7 group to?
On inpatient claims, other staphylococcus 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 B95.7 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because other staphylococcus 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 B95.7?
Under the General Equivalence Mappings, other staphylococcus as the cause of diseases classified elsewhere converts to ICD-9-CM 041.19 (other staphylococcus). The mapping is approximate, so confirm the match fits the documentation.