ICD-10 · PDGM grouping
B95-B97 — Bacterial and viral infectious agents
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
46
No clinical group
46
A period cannot be grouped from these.
Barred as primary
46
CMS rejects these in the primary position.
Where these codes group
None of the 46 codes in B95-B97 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in B95-B97
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in B95-B97
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| B950 | Streptococcus, group A, causing diseases classd elswhr | None | Cannot lead a claim |
| B951 | Streptococcus, group B, causing diseases classd elswhr | None | Cannot lead a claim |
| B952 | Enterococcus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B953 | Streptococcus pneumoniae causing diseases classd elswhr | None | Cannot lead a claim |
| B954 | Oth streptococcus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B955 | Unsp streptococcus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9561 | Methicillin suscep staph infct causing dis classd elswhr | None | Cannot lead a claim |
| B9562 | Methicillin resis staph infct causing diseases classd elswhr | None | Cannot lead a claim |
| B957 | Oth staphylococcus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B958 | Unsp staphylococcus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B960 | Mycoplasma pneumoniae as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B961 | Klebsiella pneumoniae as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9620 | Unsp Escherichia coli as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9621 | Shig tox E coli [STEC] O157 causing diseases classd elswhr | None | Cannot lead a claim |
| B9622 | Oth shiga toxin E coli [STEC] causing diseases classd elswhr | None | Cannot lead a claim |
| B9623 | Unsp shig tox E coli [STEC] causing diseases classd elswhr | None | Cannot lead a claim |
| B9629 | Oth Escherichia coli as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B963 | Hemophilus influenzae as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B964 | Proteus (mirabilis) (morganii) causing dis classd elswhr | None | Cannot lead a claim |
| B965 | Pseudomonas (mallei) causing diseases classd elswhr | None | Cannot lead a claim |
| B966 | Bacteroides fragilis as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B967 | Clostridium perfringens causing diseases classd elswhr | None | Cannot lead a claim |
| B9681 | Helicobacter pylori as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9682 | Vibrio vulnificus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9683 | Acinetobacter baumannii causing diseases classd elswhr | None | Cannot lead a claim |
| B9689 | Oth bacterial agents as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B970 | Adenovirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9710 | Unsp enterovirus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9711 | Coxsackievirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9712 | Echovirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9719 | Oth enterovirus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9721 | SARS-associated coronavirus causing diseases classd elswhr | None | Cannot lead a claim |
| B9729 | Oth coronavirus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9730 | Unsp retrovirus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9731 | Lentivirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9732 | Oncovirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9733 | HTLV-I as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9734 | HTLV-II as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9735 | HIV 2 as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9739 | Oth retrovirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B974 | Respiratory syncytial virus causing diseases classd elswhr | None | Cannot lead a claim |
| B975 | Reovirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B976 | Parvovirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B977 | Papillomavirus as the cause of diseases classified elsewhere | None | Cannot lead a claim |
| B9781 | Human metapneumovirus as the cause of diseases classd elswhr | None | Cannot lead a claim |
| B9789 | Oth viral agents as the cause of diseases classd elswhr | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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