2025 ICD-10-CM code B95.8
(Active) Effective Date: N/A Infectious and parasitic diseases - Bacterial and viral infectious agents Certain infectious and parasitic diseases Feed
Unspecified staphylococcus as the cause of diseases classified elsewhere.
Medical necessity is determined by the primary disease or condition, not the staphylococcus infection itself.The B95.8 code helps to further specify the etiology of the underlying condition but does not independently justify medical intervention.
The provider's responsibility is to identify the underlying disease or condition caused by the staphylococcus infection and document both the primary condition and the staphylococcal cause.Additional information, such as the infection site or if methicillin resistance is suspected, should be documented for more specific coding.
In simple words: This code is used when a person has a disease caused by a staphylococcus bacteria, but the doctor doesn't know the exact type of staphylococcus infection. It's used in addition to the code for the main disease.
This code indicates that a disease classified elsewhere is caused by a staphylococcus bacterium, but the specific type of staphylococcus infection is not specified.It should be used as a secondary code following the code for the primary disease or condition.
Example 1: A patient presents with pneumonia and cultures reveal an unspecified staphylococcus. The provider would code J18.9 (Pneumonia, unspecified organism) and B95.8., A patient with a documented history of cellulitis (L03.9, Cellulitis, unspecified) is found to have the condition caused by an unspecified staphylococcus, confirmed through wound culture. Code L03.9 and B95.8., A patient with osteomyelitis of the femur presents for treatment. Lab tests show infection caused by staphylococcus, but further testing is not performed to identify the specific strain. The physician documents that unspecified staphylococcus is causing the infection. Code M86.671 (Other osteomyelitis of right femur) and B95.8.
Documentation should clearly state the underlying disease or condition and indicate that it is caused by an unspecified staphylococcus bacterium. Lab reports or culture results supporting the diagnosis of a staphylococcal infection should also be included.
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, any specialty dealing with infectious diseases
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Home, Skilled Nursing Facility, Nursing Facility, and other places of service depending on the condition treated