B95 Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
The ICD-10-CM code for Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere is B95 (FY2026). It is a non-billable category code — select a more specific code below for claims.
Classification
- Section
- B95-B97: Bacterial and viral infectious agents (B95-B97)
- Category B95
- 12 codes (10 billable)
- FY2026 Status
- Stable since FY2024
Official Coding Guidelines
P36 default congenital; organism add-on rules; severe sepsis codingf. Bacterial Sepsis of Newborn Category P36, Bacterial sepsis of newborn, includes congenital sepsis. If a perinate is documented as having sepsis without documentation of congenital or community acquired, the default is congenital and a code from category P36 should be assigned. If the P36 code includes the causal organism, an additional code from category B95, Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere, or B96, Other bacterial agents as the cause of diseases classified elsewhere, should not be assigned. If the P36 code does not include the causal organism, assign an additional code from category B96. If applicable, use additional codes to identify severe sepsis (R65.2-) and any associated acute organ dysfunction.
Use additional organism code (B95-B97) when not in infection codeb. Infectious agents as the cause of diseases classified to other chapters Certain infections are classified in chapters other than Chapter 1 and no organism is identified as part of the infection code. In these instances, it is necessary to use an additional code from Chapter 1 to identify the organism. A code from category B95, Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified to other chapters, B96, Other bacterial agents as the cause of diseases classified to other chapters, or B97, Viral agents as the cause of diseases classified to other chapters, is to be used as an additional code to identify the organism. An instructional note will be found at the infection code advising that an additional organism code is required.
Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026