ICD-10 B95.1
Billable / SpecificStreptococcus, group B, as the cause of diseases classified elsewhere
About ICD-10-CM B95.1
ICD-10-CM code B95.1 represents Streptococcus, group B, as the cause of diseases classified elsewhere. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B95). The 2026 edition of ICD-10-CM B95.1 became effective on October 1, 2025.
Medicare LCD Coverage for B95.1
Local Coverage Determinations (LCDs) from CMS MACs that list B95.1 as a covered diagnosis.
Showing top 10 of 78 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing B95.1.
2 Medicare
CPT Codes Commonly Billed with B95.1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 45341 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45331 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45337 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45332 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45334 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45335 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45342 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45330 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45338 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
- 45333 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
Convert B95.1 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| B95.1 | 04102 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To B95.1
Other codes in section B95-B97 (Bacterial and viral infectious agents).
ICD-10 B95.1, Billing FAQ
Is ICD-10 code B95.1 billable? +
Yes, B95.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with B95.1? +
Procedures frequently paired with B95.1 include: 45341, 45331, 45337, 45332, 45334.
What ICD-9 codes does B95.1 map to? +
Per CMS GEMs, B95.1 maps to ICD-9 codes: 04102. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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