B96 Other bacterial agents as the cause of diseases classified elsewhere

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Other bacterial agents as the cause of diseases classified elsewhere is B96 (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 B96
19 codes (16 billable)
FY2026 Status
Stable since FY2024

Official Coding Guidelines

P36 default congenital; organism add-on rules; severe sepsis coding

f. 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.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.16.f
Use additional organism code (B95-B97) when not in infection code

b. 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.

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

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

References

Related Codes

More Specific Codes

B96.0 Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere B96.1 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere B96.2 Escherichia coli [E. coli ] as the cause of diseases classified elsewhere B96.20 Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere B96.21 Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere B96.29 Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere B96.3 Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere B96.4 Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere B96.5 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere B96.6 Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere B96.7 Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere B96.8 Other specified bacterial agents as the cause of diseases classified elsewhere B96.81 Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere B96.82 Vibrio vulnificus as the cause of diseases classified elsewhere B96.83 Acinetobacter baumannii as the cause of diseases classified elsewhere B96.89 Other specified bacterial agents as the cause of diseases classified elsewhere

Related Codes in B96

B96.0 Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere B96.1 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere B96.2 Escherichia coli [E. coli ] as the cause of diseases classified elsewhere B96.20 Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere B96.21 Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere B96.29 Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere B96.3 Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere B96.4 Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere B96.5 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere B96.6 Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere B96.7 Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere B96.8 Other specified bacterial agents as the cause of diseases classified elsewhere B96.81 Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere B96.82 Vibrio vulnificus as the cause of diseases classified elsewhere B96.83 Acinetobacter baumannii as the cause of diseases classified elsewhere B96.89 Other specified bacterial agents as the cause of diseases classified elsewhere
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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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