B95 ICD-10-CM Code: Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere

B95 is the ICD-10-CM diagnosis code for streptococcus, staphylococcus, and enterococcus as the cause of diseases classified elsewhere. B95 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering bacterial and viral infectious agents (b95-b97).

Header codes like B95 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at B95's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.