B96.20 — Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.20 is a billable, specific ICD-10-CM code for unspecified escherichia coli [e. coli] as the cause of diseases classified elsewhere. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Escherichia coli [E. coli] NOS
Risk adjustment
B96.20 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
B96.20 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58801Billing and Coding: Pharmacogenomics Testing
- A58812Billing and Coding: Pharmacogenomics Testing
- A59915Billing and Coding: Pharmacogenomic Testing
How B96.20 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 B96.20.
- Escherichia coli, as cause of disease classified elsewhere(E. coli)
- Bacillus›coli infection
- Colibacillosis›as the cause of other disease
- Infection, infected, infective›Escherichia coli NEC›as cause of disease classified elsewhere
- Infection, infected, infective›bacterial NOS›as cause of disease classified elsewhere›Escherichia coli [E. coli]
Related codes at this level
Codes that share B96.2. If B96.20 is not quite right, the correct code is usually one of these.
- B96.21Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere
- B96.22Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
- B96.23Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
- B96.29Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere
Questions about B96.20
- Is B96.20 a billable ICD-10-CM code?
- Yes. B96.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does B96.20 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Bacterial and viral infectious agents (B95-B97).