B96.0
B96.0: Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere
Billable / specific codeICD-10-CM
B96.0 is a billable, specific ICD-10-CM code for mycoplasma pneumoniae [m. pneumoniae] as the cause of diseases classified elsewhere. It is valid for submission on a claim.
Check B96.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pleuro-pneumonia-like-organism [PPLO]
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
B96.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57221Billing and Coding: Plastic Surgery
Alphabetic index entries that lead here
- Mycoplasma pneumoniae, as cause of disease classified elsewhere(M.)
- Pleuro-pneumonia-like-organism, as cause of disease classified elsewhere(PPLO)
- Infection, infected, infective›Mycoplasma NEC›pneumoniae, as cause of disease classified elsewhere
- Infection, infected, infective›pleuro-pneumonia-like organism NEC›as cause of disease classified elsewhere
- Infection, infected, infective›bacterial NOS›as cause of disease classified elsewhere›Mycoplasma pneumoniae [M. pneumoniae]
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under B96
- 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