B57 ICD-10-CM Code: Chagas' disease
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 2 inclusion terms · 2 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B57 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on B57 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- American trypanosomiasis
- infection due to Trypanosoma cruzi
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- amebiasis (A06.-) Compare B57 vs A06 →
- other protozoal intestinal diseases (A07.-) Compare B57 vs A07 →
Source: inherited from B50-B64
Coder workflow for B57
MedCoder structured workflow — derived from this code’s own official record
Before you code B57
- B57 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewB57.0, B57.1, B57.2, B57.3, B57.4, B57.5
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with B57. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath B57?
Yes → Select that code and continue the checks below on its own page.
No → B57 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in B57’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider B57. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting B57(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with B57: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition B57 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name B57 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes2 note: J82 — Pulmonary eosinophilia, not elsewhere classified.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code First instruction: F02 — Dementia in other diseases classified elsewhere.
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Contextual Map
Every relationship of B57 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run B57 with these 4 related codes in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B50-B64 — Protozoal diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- A06 — Amebiasis[Excludes1]: “amebiasis (A06.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- A07 — Other protozoal intestinal diseases[Excludes1]: “other protozoal intestinal diseases (A07.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- J82 — Pulmonary eosinophilia, not elsewhere classified[Excludes2]: “pulmonary eosinophilia due to specified parasitic infection (B50-B83)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- F02 — Dementia in other diseases classified elsewhere[Code First]: “trypanosomiasis (B56.-, B57.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (14)
- B57.0 — Acute Chagas' disease with heart involvement[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.1 — Acute Chagas' disease without heart involvement[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.2 — Chagas' disease (chronic) with heart involvement[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.3 — Chagas' disease (chronic) with digestive system involvement[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.30 — Chagas' disease with digestive system involvement, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.31 — Megaesophagus in Chagas' disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.32 — Megacolon in Chagas' disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B57.39 — Other digestive system involvement in Chagas' disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 6 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can B57 be billed directly?
No. B57 (Chagas' disease) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "B57 — Chagas' disease." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/b57-chagas-disease
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionChagas' disease
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to B57 in its code family, with their registry titles.
- B57.0 — Acute Chagas' disease with heart involvement
- B57.1 — Acute Chagas' disease without heart involvement
- B57.2 — Chagas' disease (chronic) with heart involvement
- B57.3 — Chagas' disease (chronic) with digestive system involvement
- B57.30 — Chagas' disease with digestive system involvement, unspecified
- B57.31 — Megaesophagus in Chagas' disease
- B57.32 — Megacolon in Chagas' disease
- B57.39 — Other digestive system involvement in Chagas' disease
- B57.4 — Chagas' disease (chronic) with nervous system involvement
- B57.40 — Chagas' disease with nervous system involvement, unspecified
- B57.41 — Meningitis in Chagas' disease
- B57.42 — Meningoencephalitis in Chagas' disease
- B57.49 — Other nervous system involvement in Chagas' disease
- B57.5 — Chagas' disease (chronic) with other organ involvement