B96
B96 — Other bacterial agents as the cause of diseases classified elsewhere
Non-billable headerICD-10-CM
B96 is a non-billable header ICD-10-CM code for other bacterial agents 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 B96
These codes carry an Excludes1 note pointing at B96. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B96 alone.
- A49Bacterial infection of unspecified site
Risk adjustment
B96 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 B96
9 child codes. Green means billable.
- B96.0Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere
- B96.1Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
- B96.2Escherichia coli [E. coli ] as the cause of diseases classified elsewhere
- B96.3Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere
- B96.4Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere
- B96.5Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere
- B96.6Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere
- B96.7Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere
- B96.8Other specified bacterial agents as the cause of diseases classified elsewhere
Questions about B96
- Is B96 a billable ICD-10-CM code?
- No. B96 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does B96 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).