2025 ICD-10-CM code B95
(Active) Effective Date: N/A Infectious and parasitic diseases - Bacterial and viral infectious agents Certain infectious and parasitic diseases Feed
Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere.
Modifiers are not applicable to ICD-10-CM codes.
The medical necessity for this code is established by the presence of a bacterial infection confirmed by diagnostic testing and linked to a specific disease.
Clinicians should use this code in conjunction with the code for the primary disease caused by the bacteria. This code provides additional information about the etiology of the disease.
In simple words: This code indicates that a Streptococcus, Staphylococcus, or Enterococcus bacteria is causing an infection, but the main disease caused by the bacteria is coded elsewhere.
This code identifies Streptococcus, Staphylococcus, and Enterococcus bacteria as the cause of diseases classified in other chapters of ICD-10-CM.It is used as a supplementary code to provide additional information about the infectious agent.
Example 1: A patient is diagnosed with pneumonia (J18.9) and cultures identify Streptococcus pneumoniae as the causative organism.Both J18.9 and B95.3 would be reported., A patient presents with cellulitis (L03.90) and Staphylococcus aureus is identified as the causative organism. Both L03.90 and B95.6 would be reported., A patient is diagnosed with infective endocarditis (I33.9) caused by Enterococcus. Both I33.9 and B95.2 should be reported.
Documentation should clearly identify the bacterial species as the cause of the disease and confirm this with laboratory testing like cultures.
** This code is for use as a supplementary or additional code to identify the infectious agent in diseases classified elsewhere. The sequencing of this code depends on the circumstances of the encounter.
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, Pediatrics, and other specialties diagnosing and treating bacterial infections.
- Place of Service:Any place of service where bacterial infections are diagnosed and treated.