B95.4Other streptococcus as the cause of diseases classified elsewhere

B95.4 is the ICD-10-CM diagnosis code for other streptococcus as the cause of diseases classified elsewhere. It belongs to category B95 (streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere), block B95-B97 (bacterial and viral infectious agents) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within B95, choose B95.4 (Other streptococcus as the cause of diseases classified elsewhere) only when documentation doesn't support a more specific option: streptococcus, group A, as the cause of diseases classified elsewhere (B95.0), streptococcus, group B, as the cause of diseases classified elsewhere (B95.1), Enterococcus as the cause of diseases classified elsewhere (B95.2), streptococcus pneumoniae as the cause of diseases classified elsewhere (B95.3), unspecified streptococcus as the cause of diseases classified elsewhere (B95.5), staphylococcus aureus as the cause of diseases classified elsewhere (B95.6), other staphylococcus as the cause of diseases classified elsewhere (B95.7) and unspecified staphylococcus as the cause of diseases classified elsewhere (B95.8).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 867 (Other Infectious and Parasitic Diseases Diagnoses with MCC, relative weight 2.1859), DRG 868 (Other Infectious and Parasitic Diseases Diagnoses with CC, relative weight 1.0235) and DRG 869 (Other Infectious and Parasitic Diseases Diagnoses without CC/MCC, relative weight 0.6787), in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 041.09 (streptococcus infection in conditions classified elsewhere and of unspecified site, other streptococcus).