Skip to content

B95.62 ICD-10-CM Code: Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Bacterial and viral infectious agents (B95-B97)

B95.62

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere

A serious bacterial infection caused by methicillin-resistant Staphylococcus aureus (MRSA), which is resistant to common antibiotics and requires specific treatment.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

Basket needed

Code Book Path

Official
B95Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
B95.6Staphylococcus aureus as the cause of diseases classified elsewhere
B95.62Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere

Inclusion Terms

Official
  • Methicillin resistant staphylococcus aureus (MRSA) infection as the cause of diseases classified elsewhere

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B95.62 in this effective period.

Related Child Codes

Official
B95.61Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere

Includes

Official

ICD-10-CM does not list Includes notes for B95.62 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B95.62 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B95.62 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B95.62 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B95.62 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This is a secondary code used to identify the causative organism; always pair with a primary diagnosis code for the specific infection site or condition
MRSA is inherently resistant to methicillin and related antibiotics, so document antibiotic susceptibility results when available

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is B95.62 an HCC code?

No. B95.62 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

B95.62 is the ICD-10-CM diagnosis code for methicillin resistant staphylococcus aureus infection as the cause of diseases classified elsewhere. A serious bacterial infection caused by methicillin-resistant Staphylococcus aureus (MRSA), which is resistant to common antibiotics and requires specific treatment. B95.62 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).

B95.62 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This is a secondary code used to identify the causative organism; always pair with a primary diagnosis code for the specific infection site or condition.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B95.62 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a secondary code used to identify the causative organism; always pair with a primary diagnosis code for the specific infection site or condition
  • MRSA is inherently resistant to methicillin and related antibiotics, so document antibiotic susceptibility results when available

Child Codes

Code Hierarchy

Work B95.62 in HCC Buddy

Open B95.62 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.