B95-B97

Non-Billable
ChapterA00–B99
Rankblock
Official Description

Bacterial and viral infectious agents (B95-B97)

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99).

CH1 Parent Instructions

Includes
  • diseases generally recognized as communicable or transmissible
Excludes1(Not coded here. Use a different code.)
  • certain localized infections - see body system-related chapters
Excludes2(Not included here. Code separately if applicable.)
  • carrier or suspected carrier of infectious disease (Z22.-)
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)
Use Additional Code
  • code to identify resistance to antimicrobial drugs (Z16.-)

Clinical Hierarchy

BillableHas subcodes
CH1Certain infectious and parasitic diseases (A00-B99)
B95-B97Bacterial and viral infectious agents (B95-B97)Not billable
B95Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhereSubcodes
B96Other bacterial agents as the cause of diseases classified elsewhereSubcodes
B97Viral agents as the cause of diseases classified elsewhereSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to B95-B97:

chapterCH1
Certain infectious and parasitic diseases (A00-B99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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