ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 B96.6

Billable / Specific

Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere

B96
Block
0
Synonyms
43
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM B96.6

ICD-10-CM code B96.6 represents Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B96). The 2026 edition of ICD-10-CM B96.6 became effective on October 1, 2025.

Medicare LCD Coverage for B96.6

Local Coverage Determinations (LCDs) from CMS MACs that list B96.6 as a covered diagnosis.

43 LCDs

Showing top 10 of 43 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15877 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19380 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15838 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15879 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 30400 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19396 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 30435 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19355 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15836 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B96.6.

1 policies

1 Medicare

Billing and Coding: Plastic Surgery
Policy ID: ART-57221

CPT Codes Commonly Billed with B96.6

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for B96.6

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert B96.6 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
B96.6 04182 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To B96.6

Other codes in section B95-B97 (Bacterial and viral infectious agents).

B95 Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere (non-billable) B95.0 Streptococcus, group A, as the cause of diseases classified elsewhere B95.1 Streptococcus, group B, as the cause of diseases classified elsewhere B95.2 Enterococcus as the cause of diseases classified elsewhere B95.3 Streptococcus pneumoniae as the cause of diseases classified elsewhere B95.4 Other streptococcus as the cause of diseases classified elsewhere B95.5 Unspecified streptococcus as the cause of diseases classified elsewhere B95.6 Staphylococcus aureus as the cause of diseases classified elsewhere (non-billable) B95.61 Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere B95.62 Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere B95.7 Other staphylococcus as the cause of diseases classified elsewhere B95.8 Unspecified staphylococcus as the cause of diseases classified elsewhere B96 Other bacterial agents as the cause of diseases classified elsewhere (non-billable) B96.0 Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere B96.1 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere B96.2 Escherichia coli [E. coli ] as the cause of diseases classified elsewhere (non-billable) B96.20 Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere B96.21 Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere

ICD-10 B96.6, Billing FAQ

Is ICD-10 code B96.6 billable? +

Yes, B96.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does B96.6 map to? +

Per CMS GEMs, B96.6 maps to ICD-9 codes: 04182. 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 May 31, 2026.

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