ICD Code B95.6

ICD code B95.6 is Streptococcus, group B, identified as the cause of diseases classified elsewhere.

1. Laboratory confirmation of the presence of Staphylococcus aureus as the causative agent in an infection

2. Clinical evidence of an infection, such as fever, localized pain, redness, swelling, or purulent discharge

3. Documentation that the infection is due to a bacterial etiology, specifically Staphylococcus aureus

4. Exclusion of other bacterial pathogens as the primary cause of the infection

5. Correlation of clinical findings with microbiological results confirming Staphylococcus aureus

Applicable CPT codes for ICD code B95.6 may include:

- 99201–99499 (Evaluation and Management Services)

- 87040 (Culture, bacterial; blood, aerobic)

- 87070 (Culture, bacterial; any other source except urine, blood or stool)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour)

- 36415 (Collection of venous blood by venipuncture)

- 96374 (Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance/drug)

- 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes)

CPT code selection should be based on the specific services rendered and clinical scenario associated with ICD code B95.6.

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