B95.0 Streptococcus, group A, as the cause of diseases classified elsewhere

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The ICD-10-CM code for Streptococcus, group A, as the cause of diseases classified elsewhere is B95.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
B95-B97: Bacterial and viral infectious agents (B95-B97)
Category B95
12 codes (10 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to B95.0:

  • Streptococcus, streptococcal › group › A, as cause of disease classified elsewhere
  • Infection, infected, infective (opportunistic) › bacterial NOS › as cause of disease classified elsewhere › Streptococcus › group A

U.S. Hospital Utilization

  • An estimated 28,225 U.S. inpatient stays in 2023 included B95.0 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Puerperal sepsis: use O85 + organism; don't use A40/A41; add R65.2- etc if applicable

k. Puerperal sepsis Code O85, Puerperal sepsis, should be assigned with a secondary code to identify the causal organism (e.g., for a bacterial infection, assign a code from category B95-B96, Bacterial infections in conditions classified elsewhere). A code from category A40, Streptococcal sepsis, or A41, Other sepsis, should not be used for puerperal sepsis. If applicable, use additional codes to identify severe sepsis (R65.2-) and any associated acute organ dysfunction.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.15.k
HIV Infections (TOC entry)

a. Human Immunodeficiency Virus (HIV) Infections .............................................................. 19

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.a

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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