ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 B57.0

Billable / Specific CC

Acute Chagas' disease with heart involvement

B57
Block
1
Synonyms
205
LCDs
10
Payer Policies
66
Linked CPTs

About ICD-10-CM B57.0

ICD-10-CM code B57.0 represents Acute Chagas' disease with heart involvement. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B57). The 2026 edition of ICD-10-CM B57.0 became effective on October 1, 2025.

Coding Tips for B57.0

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

B57.0 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under B57.0. Per CMS ICD-10-CM Tabular 2026.

  • Acute Chagas' disease with myocarditis

Inpatient DRG Impact, CC

codes Acute Chagas' disease with heart involvement. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for B57.0

Local Coverage Determinations (LCDs) from CMS MACs that list B57.0 as a covered diagnosis.

205 LCDs

Showing top 10 of 205 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 76376 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J0461 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93306 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93325 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J2785 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT A9700 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT Q9955 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J3490 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B57.0.

10 policies

3 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-57306

1 Aetna

Cardioverter-Defibrillators
Policy ID: CPB-0585

CPT Codes Commonly Billed with B57.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

66 linkages
  • 93319 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93307 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93351 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93355 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J1250 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93304 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93352 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J0280 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93318 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93308 CMS LCD: Billing and Coding: Echocardiography CMS LCD

Convert B57.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
B57.0 0860 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 B57.0, Billing FAQ

Is ICD-10 code B57.0 billable? +

Yes, B57.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to B57.0? +

ICD-10 B57.0 includes: Acute Chagas' disease with myocarditis.

Is B57.0 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with B57.0? +

Procedures frequently paired with B57.0 include: 93319, 93307, 93351, 93355, J1250.

What ICD-9 codes does B57.0 map to? +

Per CMS GEMs, B57.0 maps to ICD-9 codes: 0860. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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