2025 ICD-10-CM code B95.0
Streptococcus, group A, as the cause of diseases classified elsewhere.
Medical necessity for procedures related to the underlying condition caused by Streptococcus group A is determined by the primary diagnosis. The B95.0 code itself does not determine medical necessity but adds specificity to the causative organism.
Clinicians should use this code as a supplementary code to identify Streptococcus group A as the causative agent of a disease classified elsewhere. The primary diagnosis should be the disease itself, not the bacterial cause.This code helps specify the bacterial etiology for tracking, research, and public health surveillance.
In simple words: This code indicates that a Group A Streptococcus bacteria is causing an illness, but the main illness itself has a different code.Think of it like adding a detail to the main diagnosis.
This code identifies Streptococcus group A bacteria as the cause of a disease classified elsewhere.It is used as a supplementary code to provide additional information about the causative organism and should not be used as the primary diagnosis code.
Example 1: A patient presents with pharyngitis (J02.8). A throat culture confirms Streptococcus group A.J02.8 is the primary code, and B95.0 is added to specify the bacterial cause., A patient with cellulitis (L03.115) is found to have a Streptococcus group A infection.L03.115 is the primary code, with B95.0 added to specify the causative organism., A patient is diagnosed with scarlet fever (A38).Testing confirms Streptococcus group A.A38 is the primary code, and B95.0 is used as a supplementary code.
Documentation should support the presence of a Streptococcus group A infection, typically through laboratory testing such as a culture.The primary diagnosis should also be clearly documented.
** Refer to the official ICD-10-CM coding guidelines for the most up-to-date information and specific coding instructions.
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, Pediatrics, Emergency Medicine