Is ICD-10-CM code B95-B97 billable?

No, B95-B97 (Bacterial and viral infectious agents (B95-B97)) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code B95-B97 belong to?

B95-B97 belongs to Chapter 1 of the ICD-10-CM tabular list: A00–B99 (Certain Infectious and Parasitic Diseases).

B95-B97

Non-Billable

ChapterA00–B99

Rankblock

Description

Bacterial and viral infectious agents (B95-B97)

About ICD-10-CM code B95-B97

The ICD-10-CM tabular list places Bacterial and viral infectious agents (B95-B97) at code B95-B97, inside A00-B99 Certain Infectious and Parasitic Diseases. You should not submit this code on claims since it lacks billing specificity, use a child code.

Use a more specific code (0 billable, 3 non-billable)

B95Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewherehas subcodes B96Other bacterial agents as the cause of diseases classified elsewherehas subcodes B97Viral agents as the cause of diseases classified elsewherehas subcodes

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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