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ICD-10 Guide
ICD-10 CodesB57.41

B57.41

Meningitis in Chagas' disease

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B57.41 is a billable code used to indicate a diagnosis of meningitis in chagas' disease.

Key Diagnostic Point:

Meningitis in Chagas' disease is a rare but serious complication of Chagas' disease, which is caused by the protozoan parasite Trypanosoma cruzi. This disease is endemic in many parts of Latin America and can lead to chronic health issues, including neurological manifestations. Meningitis occurs when the parasite invades the central nervous system, leading to inflammation of the protective membranes covering the brain and spinal cord. Symptoms may include severe headache, fever, neck stiffness, altered mental status, and other neurological deficits. Diagnosis typically involves serological tests for T. cruzi antibodies, lumbar puncture for cerebrospinal fluid analysis, and imaging studies. Treatment often includes antiparasitic medications such as benznidazole or nifurtimox, alongside supportive care to manage symptoms. Early diagnosis and intervention are crucial to prevent long-term neurological damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Limited awareness of Chagas' disease in non-endemic regions.
  • Variability in clinical presentation and symptomatology.
  • Need for specific diagnostic tests that may not be routinely performed.
  • Potential for misdiagnosis with other forms of meningitis.

Audit Risk Factors

  • Inadequate documentation of travel history to endemic areas.
  • Failure to document serological test results.
  • Misclassification of the type of meningitis.
  • Lack of clarity in the relationship between Chagas' disease and neurological symptoms.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including travel and exposure history, laboratory results, and clinical findings.

Common Clinical Scenarios

Patients presenting with neurological symptoms after travel to endemic areas.

Billing Considerations

Awareness of the disease's rarity in non-endemic areas and the need for thorough diagnostic testing.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and cerebrospinal fluid analysis.

Common Clinical Scenarios

Patients with unexplained meningitis symptoms and a history of Chagas' disease.

Billing Considerations

Differentiating between Chagas' meningitis and other causes of meningitis.

Coding Guidelines

Inclusion Criteria

Use B57.41 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including the relationship to Chagas' disease
  • Include any relevant laboratory and imaging results

Exclusion Criteria

Do NOT use B57.41 When
No specific exclusions found.

Related CPT Codes

86592CPT Code

T. cruzi antibody test

Clinical Scenario

Used to confirm diagnosis of Chagas' disease in patients with suspected meningitis.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Chagas' disease and its complications, improving the accuracy of epidemiological data and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Chagas' disease and its complications, improving the accuracy of epidemiological data and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Chagas' disease and its complications, improving the accuracy of epidemiological data and treatment tracking.

Resources

Clinical References

  • •
    CDC Chagas Disease Information

Coding & Billing References

  • •
    CDC Chagas Disease Information

Frequently Asked Questions

What are the common symptoms of meningitis in Chagas' disease?

Common symptoms include severe headache, fever, neck stiffness, altered mental status, and neurological deficits.

How is Chagas' disease diagnosed?

Diagnosis is typically made through serological tests for T. cruzi antibodies and lumbar puncture for cerebrospinal fluid analysis.

What treatments are available for meningitis in Chagas' disease?

Treatment often includes antiparasitic medications such as benznidazole or nifurtimox, along with supportive care.