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ICD-10 Guide
ICD-10 CodesB57.30

B57.30

Chagas' disease with digestive system involvement, unspecified

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

Code Description

ICD-10 B57.30 is a billable code used to indicate a diagnosis of chagas' disease with digestive system involvement, unspecified.

Key Diagnostic Point:

Chagas' disease, caused by the protozoan parasite Trypanosoma cruzi, is endemic to parts of Latin America and can lead to chronic complications, including significant digestive system involvement. The disease is primarily transmitted through the feces of triatomine bugs, but can also be spread through blood transfusions, organ transplants, and from mother to child. In the chronic phase, patients may develop gastrointestinal manifestations such as megaesophagus and megacolon, which result from the destruction of nerve cells in the digestive tract. Symptoms may include dysphagia, abdominal pain, constipation, and weight loss. Diagnosis is typically confirmed through serological tests, and treatment involves antiparasitic medications such as benznidazole or nifurtimox, although these are most effective in the acute phase. Management of digestive symptoms may require additional interventions, including dietary modifications and surgical procedures for severe cases. The unspecified designation indicates that the specific nature of the digestive involvement has not been detailed, which can complicate treatment planning and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for comprehensive documentation of digestive involvement
  • Differentiation from other protozoal infections
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Misclassification of the type of digestive involvement
  • Failure to capture co-morbid conditions
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, serological test results, and treatment plans.

Common Clinical Scenarios

Diagnosis confirmation, management of acute and chronic symptoms, and monitoring for complications.

Billing Considerations

Ensure documentation reflects the chronic nature of the disease and any gastrointestinal complications.

Gastroenterology

Documentation Requirements

Endoscopic findings, imaging studies, and treatment interventions for digestive symptoms.

Common Clinical Scenarios

Management of megaesophagus or megacolon, dietary counseling, and surgical interventions.

Billing Considerations

Document the extent of digestive involvement and any surgical procedures performed.

Coding Guidelines

Inclusion Criteria

Use B57.30 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring that documentation supports the diagnosis of Chagas' disease with digestive involvement
  • Include any relevant laboratory results and clinical findings

Exclusion Criteria

Do NOT use B57.30 When
No specific exclusions found.

Related CPT Codes

86701CPT Code

Antibody test for Trypanosoma cruzi

Clinical Scenario

Used for confirming diagnosis of Chagas' disease.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing protocols are followed.

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, improving the ability to capture the complexity of the disease and its complications, which aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Chagas' disease, improving the ability to capture the complexity of the disease and its complications, which aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Chagas' disease, improving the ability to capture the complexity of the disease and its complications, which aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    CDC Chagas Disease Information

Coding & Billing References

  • •
    CDC Chagas Disease Information

Frequently Asked Questions

What are the common symptoms of Chagas' disease?

Common symptoms include fatigue, fever, body aches, and swelling at the site of infection. Chronic symptoms may involve digestive issues such as dysphagia and constipation.