Thursday, October 6, 2022

Chronic Hep C Without Hepatic Coma Icd 10

Chronic Viral Hepatitis C

    2016201720182019202020212022Billable/Specific Code
  • B18.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2022 edition of ICD-10-CM B18.2 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of B18.2 – other international versions of ICD-10 B18.2 may differ.
  • Carrier of viral hepatitis C
  • Applicable To annotations, or

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Chronic Hepatitis Not Elsewhere Classified

    2016201720182019202020212022Non-Billable/Non-Specific Code
  • granulomatous hepatitis NEC
  • reactive, nonspecific hepatitis
  • viral hepatitis
    • Chronic hepatitis
    • An active inflammatory process affecting the liver for more than six months. Causes include viral infections, autoimmune disorders, drugs, and metabolic disorders.
    • Inflammation of the liver with ongoing hepatocellular injury for 6 months or more, characterized by necrosis of hepatocytes and inflammatory cell infiltration. Chronic hepatitis can be caused by viruses, medications, autoimmune diseases, and other unknown factors.
    • 441 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
    • 442 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
    • 443 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc
    • : New code
    • 2017
      • 2016201720182019202020212022Billable/Specific Code

      Applicable To

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    Certain Infectious And Parasitic Diseasesincludes

  • diseases generally recognized as communicable or transmissible
    • certain localized infections – see body system-related chapters
    • carrier or suspected carrier of infectious disease
    • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
    • infectious and parasitic diseases specific to the perinatal period
    • influenza and other acute respiratory infections
    • code to identify resistance to antimicrobial drugs
  • sequelae of viral hepatitis
    • herpesviral hepatitis
    • 2016201720182019202020212022Non-Billable/Non-Specific Code

    Includes

    • Chronic hepatitis c
    • Chronic hepatitis c with stage 3 fibrosis
    • Chronic hepatitis c, stage 3 fibrosis
    • Cryoglobulinemia due to chronic hepatitis c
    • Hepatic coma due to chronic hepatitis c
    • Hepatitis c carrier
    • Hepatitis c, chronic, with hepatic coma
    • Inflammation of the liver in humans that is caused by hepatitis c virus lasting six months or more. Chronic hepatitis c can lead to liver cirrhosis.
    • 441 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
    • 442 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
    • 443 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc
    • 791 Prematurity with major problems
    • 793 Full term neonate with major problems
    • : New code
    • 2017

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    Recommended Reading: Can Hepatitis C Spread Through Saliva

    Electronic Medical Record Screening Protocol

    Where possible, the EMR offers an essential component of successful HCV screening through a best practice alert that notifies clinicians and staff when a patient is eligible for screening . Ideally this alert links to a one-time HCV screening test for eligible patients with the appropriate diagnosis code . After the test is completed, the BPA should turn off but highlight a positive result. The most efficient test to order is an anti-HCV antibody that reflexes to a quantitative HCV RNA on the same blood sample to confirm chronic HCV. This is essential as 15-35% of anti-HCV antibody positive patients have cleared the infection. In summary:Eligible patients for HCV screening:

    • Birth year 1945-1965

    Exclusion from eligibility:

    • Prior record of HCV diagnosis based on ICD-9-CM or ICD-10 codes
    • Prior record of any HCV test based on an array of Current Procedural Terminology codes .
    • Z11.59 Encounter for screening for other viral diseases
    • B17.11 Acute hepatitis C with hepatic coma
    • B18.2 Chronic viral hepatitis C
    • B17.10 Acute hepatitis C without hepatic coma
    • B19.20 Unspecified viral hepatitis C without hepatic coma
    • B19.21 Unspecified viral hepatitis C with hepatic coma
    • Z22.52 Carrier of Hepatitis C

    ICD-9 codes:

    CPT codes:

    • 86804: Hepatitis C antibody, confirmatory test
    • 87520: Hepatitis C, direct probe technique
    • 87521: Hepatitis C, amplified probe technique
    • 87522: Hepatitis C, quantification

    For a more complete list, visit Support Path

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    The Icd Code B19 Is Used To Code Viral Hepatitis

    Viral hepatitis is liver inflammation due to a viral infection. It may present in acute or chronic forms. The most common causes of viral hepatitis are the five unrelated hepatotropic viruses Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. In addition to the nominal hepatitis viruses, other viruses that can also cause liver inflammation include Herpes simplex, Cytomegalovirus, EpsteinBarr virus, and Yellow fever.

    Specialty:

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    Diseases Of The Digestive Systemtype 2 Excludes

  • certain conditions originating in the perinatal period
  • certain infectious and parasitic diseases
  • complications of pregnancy, childbirth and the puerperium
  • congenital malformations, deformations and chromosomal abnormalities
  • endocrine, nutritional and metabolic diseases
  • injury, poisoning and certain other consequences of external causes
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • Unspecified Viral Hepatitis C Without Hepatic Coma

      2016201720182019202020212022Billable/Specific Code
    • B19.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
    • The 2022 edition of ICD-10-CM B19.20 became effective on October 1, 2021.
    • This is the American ICD-10-CM version of B19.20 – other international versions of ICD-10 B19.20 may differ.
    • Applicable To annotations, or

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    Viral Hepatitis Coding In Icd

    “Hepatitis” means inflammation of the liver, and the term also refers to a group of viral infections that affect the liver. The most common types are Hepatitis A, Hepatitis B and Hepatitis C.

    Hepatitis A is a liver disease caused by the hepatitis A virus . HAV infection produces a self-limited disease that does not result in chronic infection or chronic liver disease. HAV infection primarily is transmitted via the fecal-oral route by either person-to-person contact or through consumption of contaminated food or water. Hepatitis A vaccination is the most effective measure to prevent HAV infection and is recommended for all children starting at age 1, certain international travelers and all others at risk for infection.

    Hepatitis B is a serious liver infection caused by the hepatitis B virus . HBV infection can cause acute illness and lead to chronic or lifelong infection, cirrhosis of the liver, liver cancer, liver failure and death. HBV is transmitted through percutaneous or mucosal contact with infectious blood or body fluids. Hepatitis B vaccination is the most effective measure to prevent HBV infection and is recommended for all infants and others at risk for infection.

    Hepatitis D is a serious liver disease caused by the hepatitis D virus , and it only occurs in people already infected with hepatitis B, since HDV needs the hepatitis B virus to replicate. HDV is transmitted through percutaneous or mucosal contact with infectious blood.

    Exercise:

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    The following cases of disease should be notified:

    • Confirmed acute
    • Although it is recognized that chronic hepatitis B infections are not reportable in all provinces and territories, where possible, chronic and unspecified infections should be notified to the national level.

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    What Is Chronic Hepatitis

    Hepatitis is an inflammation of the liver. In chronic hepatitis, liver inflammation continues for at least six months. This condition may be mild, causing relatively little damage, or more serious, causing many liver cells to be destroyed. Some cases lead to cirrhosis and liver failure.

    Chronic hepatitis from infection is most often caused by these viruses:

    • Hepatitis B and C. Often the person infected is unaware of any initial symptoms. Or the symptoms were so mild that the person did not seek medical attention. This is especially true for chronic hepatitis C. Over time, perhaps a decade or more, both types may lead to the serious complication of cirrhosis due to ongoing destruction of liver cells and resultant scarring. A minority of patients with cirrhosis develop liver cancer over time.
    • Hepatitis D. Hepatitis D infects only patients already infected with hepatitis B, and it generally results in a flare of active hepatitis.

    This information helps to determine the best treatment and to assess your risk of developing cirrhosis and liver failure. A liver biopsy also can help to check for other disorders, such as alcoholic liver injury or fatty liver.

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