2026 ICD-10-CM Diagnosis Code B95.7Other staphylococcus as the cause of diseases classified elsewhere

ICD-10-CM CodesA00–B99B95-B97B95

ICD-10-CM B95.7
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026) 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
B95.7
Billable Status
Yes — Valid for Submission
Code Describes
Other staphylococcus as the cause of diseases classified elsewhere
Short Description
Oth staphylococcus as the cause of diseases classd elswhr
Parent Code
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 CodeB95.7Other staphylococcus as the cause of diseases classified elsewhere

Code EditsBilling

Medicare Code Editor checks that affect claim validity for B95.7.

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.

  • 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 mastitis
  • Neonatal staphylococcal 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

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Infection, infected, infective(opportunistic)
      • bacterial NOS
        • as cause of disease classified elsewhere
          • Staphylococcus
            • specified NEC
    • Infection, infected, infective(opportunistic)
      • staphylococcal, unspecified site
        • as cause of disease classified elsewhere
          • specified NEC
    • Staphylococcus, staphylococcal
      • specified NEC, as cause of disease classified elsewhere

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

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.

ICD-9-CM
041.19 Other staphylococcus
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About B95.7Overview

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, 2025 through September 30, 2026.

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, 868, 869, with relative weights from 0.7297 to 2.0932 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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.