Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesProtozoal diseasesICD-10-CM b56-african-trypanosomiasis
    Ask Trek AI about this page

    ICD-10-CM Code For African Trypanosomiasis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group B56 includes diagnoses for African trypanosomiasis, covering infections caused by Trypanosoma brucei species and the associated systemic and neurologic manifestations. These ICD-10-CM diagnosis codes are used to document clinical presentations ranging from early hemolymphatic disease to late-stage central nervous system involvement, capturing disease severity and complications. Accurate coding within the ICD-10-CM B56 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For African Trypanosomiasis: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM B56: African Trypanosomiasis Overview

    The ICD-10-CM B56 group represents African trypanosomiasis, a protozoal infection caused by Trypanosoma species that primarily affects the blood, lymphatic system, and central nervous system. These diagnoses target systemic parasitic disease with potential neurologic involvement. Accurate coding matters for tracking infectious disease epidemiology and for complete clinical documentation that supports proper claim adjudication and reimbursement.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a clinical diagnosis of African trypanosomiasis has been established and documented, including stage-specific findings such as neurologic signs. Select the code that reflects the documented disease stage, organ system involvement, and any complications present.

    ICD-10-CM Codes

    3 rows

    ICD-10-CM CodeDescription
    B56.0Gambiense trypanosomiasis
    B56.1Rhodesiense trypanosomiasis
    B56.9African trypanosomiasis, unspecified

    DRG Codes

    3 rows

    DRG CodeDescription
    867Other Infectious and Parasitic Diseases Diagnoses with MCC
    868Other Infectious and Parasitic Diseases Diagnoses with CC
    869Other Infectious and Parasitic Diseases Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • A middle-aged traveler returns from a safari in sub-Saharan Africa with several weeks of progressive fever, severe headaches, intermittent somnolence, daytime somnolence, and behavioral changes; on exam there is cervical and posterior auricular lymphadenopathy and anemia. The patient presents to an infectious disease clinic after initial primary care evaluation; parasitologic tests identify Trypanosoma brucei gambiense infection consistent with a chronic West African form of the disease, so a specific code in this group is assigned. Typical codes: B56.1
    • A young adult from a rural endemic region is brought to the emergency department with acute high fever, severe myalgias, hypotension, and signs of multiorgan dysfunction after a recent tsetse fly exposure; peripheral blood smear demonstrates Trypanosoma brucei rhodesiense with rapid parasitemia. Because this is an acute, rapidly progressive infection requiring urgent inpatient care, an acute disease code from this group is used. Typical codes: B56.0
    • An older patient with a history of treated African trypanosomiasis presents for follow-up with persistent cognitive impairment, gait disturbance, and seizures months after initial therapy; neurologic sequelae temporally related to prior infection are documented and the chart lists ongoing care for the protozoal disease. A code from this group is assigned to indicate the continued presence or sequelae of the prior trypanosomal infection as a comorbid condition impacting management. Typical codes: B56.9

    Related Codes

    B50-PLASMODIUM-FALCIPARUM-MALARIA

    ICD-10-CM Code For Plasmodium Falciparum Malaria: Group Overview

    B52-PLASMODIUM-MALARIAE-MALARIA

    ICD-10-CM Code For Plasmodium Malariae Malaria: Group Overview

    B53-OTHER-SPECIFIED-MALARIA

    ICD-10-CM Code For Other Specified Malaria: Group Overview

    B54-UNSPECIFIED-MALARIA

    ICD-10-CM Code For Unspecified Malaria: Group Overview

    B55-LEISHMANIASIS

    ICD-10-CM Code For Leishmaniasis: Group Overview

    B57-CHAGAS-DISEASE

    ICD-10-CM Code For Chagas' Disease: Group Overview

    B58-TOXOPLASMOSIS

    ICD-10-CM Code For Toxoplasmosis: Group Overview

    B59-PNEUMOCYSTOSIS

    ICD-10-CM Code For Pneumocystosis: Group Overview

    B60-OTHER-PROTOZOAL-DISEASES

    ICD-10-CM Code For Other Protozoal Diseases Not Elsewhere Classified: Group Overview

    B64-UNSPECIFIED-PROTOZOAL-DISEASE

    ICD-10-CM Code For Unspecified Protozoal Disease: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.