B95.3 Streptococcus pneumoniae as the cause of diseases classified elsewhere
The ICD-10-CM code for Streptococcus pneumoniae as the cause of diseases classified elsewhere is B95.3 (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 B95.3:
- Streptococcus, streptococcal › pneumoniae, as cause of disease classified elsewhere
- Infection, infected, infective (opportunistic) › pneumococcus, pneumococcal NEC › as cause of disease classified elsewhere
- Infection, infected, infective (opportunistic) › bacterial NOS › as cause of disease classified elsewhere › Streptococcus › pneumoniae
U.S. Hospital Utilization
- An estimated 8,490 U.S. inpatient stays in 2023 included B95.3 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 applicablek. 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.
HIV Infections (TOC entry)a. Human Immunodeficiency Virus (HIV) Infections .............................................................. 19
Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026