ICD-10 Code B96.3

Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere

Version 2019 Billable Code Unacceptable Principal Diagnosis
ICD-10:B96.3
Short Description:Hemophilus influenzae as the cause of diseases classd elswhr
Long Description:Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere

Valid for Submission

ICD-10 B96.3 is a billable code used to specify a medical diagnosis of hemophilus influenzae [h. influenzae] as the cause of diseases classified elsewhere. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Bacterial and viral infectious agents (B95-B97)
      • Oth bacterial agents as the cause of diseases classd elswhr (B96)

Information for Medical Professionals

Code Edits

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:

  • 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.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code B96.3 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
  • 868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
  • 869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Convert B96.3 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 041.5 - H. influenzae infect NOS (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms:

  • Acute haemophilus influenzae laryngitis
  • Bacterial arthritis due to Haemophilus influenzae type b
  • Bacterial otitis media
  • Bacterial sinusitis
  • Gram-negative bacterial cellulitis
  • Haemophilus cellulitis
  • Haemophilus influenzae arthritis
  • Haemophilus influenzae epiglottitis
  • Haemophilus influenzae laryngitis
  • Haemophilus influenzae otitis media
  • Haemophilus influenzae type b infection
  • Pericarditis due to Genus Hemophilus
  • Sinusitis caused by Haemophilus influenzae

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 B96.3 are found in the index:


Information for Patients


Haemophilus Infections

Haemophilus is the name of a group of bacteria. There are several types of Haemophilus. They can cause different types of illnesses involving breathing, bones and joints, and the nervous system.

One common type, Hib (Haemophilus influenzae type b), causes serious disease. It usually strikes children under 5 years old. Your child can get Hib disease by being around other children or adults who may have the bacteria and not know it. The germs spread from person to person. If the germs stay in the child's nose and throat, the child probably will not get sick. But sometimes the germs spread into the lungs or the bloodstream, and then Hib can cause serious problems such as meningitis and pneumonia.

Treatment is with antibiotics. There is a vaccine to prevent Hib disease. All children younger than 5 years of age should be vaccinated with the Hib vaccine.

Centers for Disease Control and Prevention

  • Haemophilus Influenzae Type b (Hib) Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
  • Hib Disease: Information for Parents (American Academy of Pediatrics)
  • Hib Disease: Information for Parents (Centers for Disease Control and Prevention)
  • Hib Disease: Information for Parents (American Academy of Family Physicians)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.