ICD-10 · PDGM grouping
B95 Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere
All 10 codes in the B95 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
10
Can lead a claim
0
Cannot lead a claim
10
What CMS assigns to B95
None of the 10 codes is assigned a clinical group. 1 of the 10 counts toward the C-diff, MRSA, E-coli, Sepsis comorbidity subgroup; 9 are assigned none. None can lead a claim.
- C-diff, MRSA, E-coli, Sepsis: counts toward the high comorbidity tier only in an interaction pair.
Every code in B95
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| B95.0 | Streptococcus, group A, as the cause of diseases classified elsewhereCMS: Streptococcus, group A, causing diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.1 | Streptococcus, group B, as the cause of diseases classified elsewhereCMS: Streptococcus, group B, causing diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.2 | Enterococcus as the cause of diseases classified elsewhere | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.3 | Streptococcus pneumoniae as the cause of diseases classified elsewhereCMS: Streptococcus pneumoniae causing diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.4 | Other streptococcus as the cause of diseases classified elsewhereCMS: Oth streptococcus as the cause of diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.5 | Unspecified streptococcus as the cause of diseases classified elsewhereCMS: Unsp streptococcus as the cause of diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.6 Staphylococcus aureus as the cause of diseases classified elsewhere | ||||
| B95.61 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhereCMS: Methicillin suscep staph infct causing dis classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.62 | Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhereCMS: Methicillin resis staph infct causing diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | C-diff, MRSA, E-coli, Sepsis |
| B95.7 | Other staphylococcus as the cause of diseases classified elsewhereCMS: Oth staphylococcus as the cause of diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| B95.8 | Unspecified staphylococcus as the cause of diseases classified elsewhereCMS: Unsp staphylococcus as the cause of diseases classd elswhr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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