2024 ICD-10-CM Diagnosis Code B57.40
Chagas' disease with nervous system involvement, unspecified
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Chagas' disease with nervous system involvement
Clinical Category is Parasitic, other specified and unspecified infections
- CCSR Category Code: INF009
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
What is Chagas disease?
Chagas disease, or American trypanosomiasis, is an illness that can cause serious heart and stomach problems. It is caused by a parasite. Chagas disease is common in Latin America, especially in poor, rural areas. It can also be found in the United States, most often in people who were infected before they moved to the U.S.
What causes Chagas disease?
Chagas disease is caused by the Trypanosoma cruzi parasite. It is usually spread by infected blood-sucking bugs called triatomine bugs. They are also known as "kissing bugs" because they often bite people's faces. When one of these bugs bites you, it leaves behind infected waste. You can become infected if you rub the waste in your eyes or nose, the bite wound, or a cut.
Chagas disease can also spread through contaminated food, a blood transfusion, a donated organ, or from the pregnant parent to the baby during pregnancy.
Who is more likely to develop Chagas disease?
Kissing bugs can be found throughout the Americas, but they are more common in certain areas. The people who are most at risk for Chagas disease:
- Live in rural areas of Latin America
- Have seen the bugs, especially in those areas
- Have stayed in a house with a thatched roof or with walls that have cracks or crevices
What are the symptoms of Chagas disease?
In the beginning, there may be no symptoms. Some people do get mild symptoms, such as:
- Body aches
- Loss of appetite
- A rash
- A swollen eyelid
These early symptoms usually go away. However, if you don't treat the infection, it stays in your body. Later, it can cause serious intestinal and heart problems such as:
- An serious arrhythmia (a problem with the rate or rhythm of your heartbeat) that can cause sudden death
- An enlarged heart that doesn't pump blood well
- Problems with digestion and bowel movements
- An increased chance of having a stroke
How is Chagas disease diagnosed?
To find out if you have Chagas disease, your health care provider:
- Will do a physical exam
- Will take your medical history, including asking about your symptoms and where you have lived and traveled
- Will run a blood test for Chagas disease
- May run tests to see whether the disease has affected your intestines and heart
What are the treatments for Chagas disease?
Medicines can kill the parasite, especially early on. You can also treat related problems. For example, a pacemaker can help with some heart complications.
Can Chagas disease be prevented?
There are no vaccines or medicines to prevent Chagas disease. If you travel to areas where it occurs, you are at higher risk if you sleep outdoors or are staying in poor housing conditions. It is important to use insecticides to prevent bites and practice food safety.
Centers for Disease Control and Prevention
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- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
 Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.