Is B95.4 a billable ICD-10-CM code?

Yes. B95.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does B95.4 sit in the tabular list?

Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).

B95.4

B95.4 — Other streptococcus as the cause of diseases classified elsewhere

Billable / specific codeICD-10-CM

B95.4 is a billable, specific ICD-10-CM code for other streptococcus as the cause of diseases classified elsewhere. It is valid for submission on a claim.

Risk adjustment

B95.4 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.

Medicare coverage

B95.4 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57221Billing and Coding: Plastic Surgery

How B95.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to B95.4.

Streptococcus, streptococcal›specified NEC, as cause of disease classified elsewhere
Infection, infected, infective›bacterial NOS›as cause of disease classified elsewhere›Streptococcus›specified NEC

Related codes at this level

Codes that share B95. If B95.4 is not quite right, the correct code is usually one of these.

Questions about B95.4

Is B95.4 a billable ICD-10-CM code?: Yes. B95.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does B95.4 sit in the tabular list?: Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).