B95
B95 — Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
Non-billable headerICD-10-CM
B95 is a non-billable header ICD-10-CM code for streptococcus, staphylococcus, and enterococcus as the cause of diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with B95
These codes carry an Excludes1 note pointing at B95. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B95 alone.
- A49Bacterial infection of unspecified site
Risk adjustment
B95 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead B95
9 child codes. Green means billable.
- B95.0Streptococcus, group A, as the cause of diseases classified elsewhere
- B95.1Streptococcus, group B, as the cause of diseases classified elsewhere
- B95.2Enterococcus as the cause of diseases classified elsewhere
- B95.3Streptococcus pneumoniae as the cause of diseases classified elsewhere
- B95.4Other streptococcus as the cause of diseases classified elsewhere
- B95.5Unspecified streptococcus as the cause of diseases classified elsewhere
- B95.6Staphylococcus aureus as the cause of diseases classified elsewhere
- B95.7Other staphylococcus as the cause of diseases classified elsewhere
- B95.8Unspecified staphylococcus as the cause of diseases classified elsewhere
Questions about B95
- Is B95 a billable ICD-10-CM code?
- No. B95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does B95 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).