B95: ICD10 Code for Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere

B95 is the ICD10 code used for documenting Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere in clinical and billing records.

B95 - Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere

B95 refers to Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere, a supplementary coding category used when certain bacterial or viral agents are identified as the underlying cause of a disease classified under a different ICD10 code. These codes are crucial for specificity in infectious disease documentation, enhancing accuracy in clinical care, research, and surveillance.

Symptoms

  • Depend on primary disease – Symptoms vary by associated condition (e.g., pneumonia, sepsis)
  • Fever – Common in most bacterial and viral infections
  • Inflammation – Localized or systemic depending on the site of infection
  • Organ dysfunction – May occur in serious systemic infections
  • Fatigue and weakness – General indicators of underlying infection
  • Cough or sore throat – In respiratory illnesses like strep throat or viral pneumonia
  • Skin abscesses – Common with staphylococcal infections

Diagnosis

Diagnosis involves identifying the primary disease (e.g., endocarditis, pneumonia) and confirming the causative organism through laboratory testing. These may include cultures, PCR, antigen detection, and serology. The organism-specific code (e.g., B95–B97) is used alongside the code for the primary condition to provide a complete clinical picture.

ICD10 Code Usage

ICD10 code B95 is not used alone but in combination with another diagnosis code to indicate the causative organism. This enhances the specificity of disease documentation for clinical, billing, and epidemiological purposes. Accurate use helps in infection tracking, antimicrobial stewardship, and health system reporting.

Related Codes

FAQs

Q1: What is ICD10 code B95?
A: This code identifies the causative bacterial or viral agent for a disease documented under a separate primary diagnosis code.

Q2: When should I use this code?
A: Use it as a secondary code to specify the pathogen when the primary disease is classified elsewhere in ICD10.

Q3: Is this code billable on its own?
A: No, it must be used in conjunction with the code for the main disease or condition.

Q4: How is the causative organism identified?
A: Through lab tests such as blood cultures, throat swabs, or PCR assays confirming the presence of a specific agent.

Q5: Why is specifying the organism important?
A: It improves treatment accuracy, supports antimicrobial resistance monitoring, and informs public health responses.

Conclusion

ICD10 code B95 enhances diagnostic precision by linking a specific bacterial or viral agent to a primary condition. It supports high-quality clinical documentation, improves infection tracking, and enables effective patient care and data analysis. Proper usage of these combination codes is key in modern infectious disease management.

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