2025 ICD-10-CM code B95.3
(Active) Effective Date: N/A Infectious Diseases - Bacterial and viral infectious agents Certain infectious and parasitic diseases Feed
Streptococcus pneumoniae as the cause of diseases classified elsewhere.
Medical necessity for this code is established by the medical necessity of the primary diagnosis. This code adds specificity regarding the etiology of the condition.
Clinicians should use this code as a supplementary code to identify Streptococcus pneumoniae as the causative agent, following the primary diagnosis code for the specific disease.
In simple words: This code indicates that Streptococcus pneumoniae bacteria is causing an illness, but the main code describes the specific illness itself.It's like saying what germ is causing the sickness, but not what the sickness is.
This code identifies Streptococcus pneumoniae bacteria as the cause of a disease classified elsewhere.It should be used in conjunction with other code(s) identifying the disease(s) or condition(s).It should not be used as the first-listed or principal diagnosis but should follow the disease or condition code(s).
Example 1: A patient presents with pneumonia confirmed to be caused by Streptococcus pneumoniae. The primary code would be for the pneumonia (e.g., J13), followed by B95.3 to specify the bacterial cause. , A patient has meningitis due to Streptococcus pneumoniae. The primary code would be for the meningitis (e.g., G00.1) with B95.3 as a secondary code., A patient develops sepsis due to Streptococcus pneumoniae. The primary code would be for sepsis (e.g., A41.9) and B95.3 would be used to indicate the causative organism.
Documentation should support both the diagnosis of the condition and the identification of Streptococcus pneumoniae as the causative agent through laboratory testing or other appropriate diagnostic methods.
** Use additional code to identify resistance to antimicrobial drugs (Z16.-) if applicable.
- Payment Status: Active
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, Pediatrics, etc.
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Office, etc.