Unspecified Viral Hepatitis C Without Hepatic Coma

Can Hepatitis C Be Prevented

There is no vaccine for hepatitis C. But you can help protect yourself from hepatitis C infection by

• Not sharing drug needles or other drug materials
• Wearing gloves if you have to touch another person’s blood or open sores
• Making sure your tattoo artist or body piercer uses sterile tools and unopened ink
• Not sharing personal items such toothbrushes, razors, or nail clippers
• Using a latex condom during sex. If your or your partner is allergic to latex, you can use polyurethane condoms.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

• 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

Chronic Phase Of Hepatitis C

After six months 70% to 85% of those infected will have failed to clear the virus spontaneously. After this period the hepatitis C virus enters what is known as the chronic phase. This is when hepatitis C becomes a chronic or long-term infection. The diagnosis is confirmed when over a six month period hepatitis C RNA viral presence is detectable on at least two occasions.

A diagnosis of chronic hepatitis C means the battle between the virus and the immune system that occurs during the acute stage has finally been won by the virus. It is now highly unlikely that the virus can be cleared without treatment.

How the disease then progresses varies significantly from person to person. After many years some people will have minimal liver damage with no scarring while others can progress to cirrhosis within less than ten years. On average it takes about twenty years for significant liver scarring to develop. It is still not known whether chronic hepatitis C infection inevitably leads to cirrhosis. At present it is thought that this is a very likely outcome, although for some people it may take at least 50 years or more. They may well die of other unrelated diseases or conditions before cirrhosis develops. The rate of progression of liver damage cannot be accurately determined by liver enzyme levels, viral load or by genotype.

Liver damage and fibrosis during the chronic stage

Free Radicals and Fibrosis

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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Liver Aminotransferases > 200 U/l

After excluding 29 patients with baseline transaminases > 200 U/L, 336 developed an ALT or AST > 200 U/L after azole initiation . The median time to this outcome from initiation was 23 days . We observed 265 events among fluconazole initiators , 40 among ketoconazole initiators , 8 among itraconazole initiators , 21 among voriconazole initiators , and 2 among posaconazole initiators . Among the 336 patients who developed aminotransferases > 200 U/L, 5 were hospitalized for acute liver injury within 6 months of the event, and 14 died within 6 months.

How Is Hepatitis C Spread

Hepatitis C spreads through contact with the blood of someone who has HCV. This contact may be through

• Sharing drug needles or other drug materials with someone who has HCV. In the United States, this is the most common way that people get hepatitis C.
• Getting an accidental stick with a needle that was used on someone who has HCV. This can happen in health care settings.
• Being tattooed or pierced with tools or inks that were not sterilized after being used on someone who has HCV
• Having contact with the blood or open sores of someone who has HCV
• Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes
• Being born to a mother with HCV
• Having unprotected sex with someone who has HCV

Before 1992, hepatitis C was also commonly spread through blood transfusions and organ transplants. Since then, there has been routine testing of the U.S. blood supply for HCV. It is now very rare for someone to get HCV this way.

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Unspecified Viral Hepatitis C Without Hepatic Comab1920

Chapter 1 – Certain infectious and parasitic diseases » Viral hepatitis » Unspecified viral hepatitis C without hepatic coma

Related MeSH Terms

Diseases » Digestive System Diseases » Liver Diseases » Hepatitis » Hepatitis, Viral, Human » Hepatitis C

INFLAMMATION of the LIVER in humans caused by HEPATITIS C VIRUS, a single-stranded RNA virus. Its incubation period is 30-90 days. Hepatitis C is transmitted primarily by contaminated blood parenterally and is often associated with transfusion and intravenous drug abuse. However, in a significant number of cases, the source of hepatitis C infection is unknown. MeSH

Hierarchy Tree View

• ICD-10

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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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Certain Infectious And Parasitic Diseasesincludes

• 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

• herpesviral hepatitis

• Cirrhosis of liver due to chronic hepatitis c
• Cirrhosis of liver due to chronic hepatits c
• Cirrhosis of liver due to hepatits c
• Cirrhosis, hepatitis c
• Glomerulonephritis due to hepatitis c
• Hepatitis c

• A viral infection caused by the hepatitis c virus.
• Inflammation of the liver in humans caused by hepatitis c virus, a single-stranded rna virus. Its incubation period is 30-90 days. Hepatitis c is transmitted primarily by contaminated blood parenterally, and is often associated with transfusion and intravenous drug abuse. However, in a significant number of cases, the source of hepatitis c infection is unknown.
• Viral disease caused by hepatitis c virus most common form of post transfusion hepatitis, also is a common acute sporadic hepatitis may also follow parental drug abuse.

• : New code
• 2017

• 2016201720182019202020212022Billable/Specific Code

  Applicable To

Who Should Be Vaccinated

Children

• All children aged 1223 months
• All children and adolescents 218 years of age who have not previously received hepatitis A vaccine

People at increased risk for hepatitis A

• International travelers
• Men who have sex with men
• People who use or inject drugs
• People with occupational risk for exposure
• People who anticipate close personal contact with an international adoptee
• People experiencing homelessness

People at increased risk for severe disease from hepatitis A infection

• People with chronic liver disease, including hepatitis B and hepatitis C
• People with HIV

Other people recommended for vaccination

• Pregnant women at risk for hepatitis A or risk for severe outcome from hepatitis A infection

Any person who requests vaccination

There is no vaccine available for hepatitis C.

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What Are The Treatments For Hepatitis C

Treatment for hepatitis C is with antiviral medicines. They can cure the disease in most cases.

If you have acute hepatitis C, your health care provider may wait to see if your infection becomes chronic before starting treatment.

If your hepatitis C causes cirrhosis, you should see a doctor who specializes in liver diseases. Treatments for health problems related to cirrhosis include medicines, surgery, and other medical procedures. If your hepatitis C leads to liver failure or liver cancer, you may need a liver transplant.

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How Is It Spread

• Hepatitis C

Hepatitis A is spread when a person ingests fecal mattereven in microscopic amountsfrom contact with objects, food, or drinks contaminated by feces or stool from an infected person.

Hepatitis B is primarily spread when blood, semen, or certain other body fluids- even in microscopic amounts from a person infected with the hepatitis B virus enters the body of someone who is not infected. The hepatitis B virus can also be transmitted from:

• Birth to an infected mother
• Sex with an infected person
• Sharing equipment that has been contaminated with blood from an infected person, such as needles, syringes, and even medical equipment, such as glucose monitors
• Sharing personal items such as toothbrushes or razors
• Poor infection control has resulted in outbreaks in health care facilities

Hepatitis C is spread when blood from a person infected with the Hepatitis C virus even in microscopic amounts enters the body of someone who is not infected. The hepatitis C virus can also be transmitted from:

• Sharing equipment that has been contaminated with blood from an infected person, such as needles and syringes
• Receiving a blood transfusion or organ transplant before 1992
• Poor infection control has resulted in outbreaks in health care facilities
• Birth to an infected mother

Study Design And Data Source

We conducted a retrospective cohort study using data from Kaiser Permanente Northern California , an integrated healthcare organization that provides inpatient and outpatient services to Northern California residents.8 Data collected by KPNC included demographics outpatient and hospital International Classification of Diseases, Ninth Revision diagnoses procedures inpatient and outpatient laboratory results emergency and referral services at non-Kaiser Permanente facilities dispensed medications, including dosage, administration, and daysâ supply and death date. Prescription drug benefits are utilized by > 90% of members, and prior analyses have established the accuracy of pharmacy data.9 The study was approved by the KPNC and University of Pennsylvania institutional review boards.

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What Is Hepatitis C

Hepatitis is inflammation of the liver. Inflammation is swelling that happens when tissues of the body are injured or infected. Inflammation can damage organs.

There are different types of hepatitis. One type, hepatitis C, is caused by the hepatitis C virus . Hepatitis C can range from a mild illness lasting a few weeks to a serious, lifelong illness.

Hepatitis C can be acute or chronic:

• Acute hepatitis C is a short-term infection. The symptoms can last up to 6 months. Sometimes your body is able to fight off the infection and the virus goes away. But for most people, an acute infection leads to chronic infection.
• Chronic hepatitis C is a long-lasting infection. If it is not treated, it can last for a lifetime and cause serious health problems, including liver damage, cirrhosis , liver cancer, and even death.

Ammonia Was An Independent Prognostic Predictor In Patients With Sepsis

Patients in the hyperammonemia group had worse survival rates . Furthermore, univariate and multivariate Cox analysis was performed of baseline variables and results of laboratory tests . The factors significantly correlated with survival were adjusted for in the multivariate analysis. The analysis revealed that ammonia remained an independent prognostic factor in patients with sepsis. .

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You Have An Inflammation Of The Liver That Is Caused By Viruses

If the liver is inflamed, this can cause various symptoms. The skin and eyes may turn yellow. The stool may be colorless and urine may be very dark. You may feel feeble and tired. You may be seriously ill. You may feel nauseous. You may also get a high temperature and sore muscles. It is also possible to have other symptoms. The liver inflammation also sometimes causes no symptoms at all.

Severe Acute Liver Injury

Fifty severe acute liver injury events occurred during follow-up , with a median time from azole initiation of 22 days . We observed 41 severe acute liver injury events among fluconazole initiators , 6 among ketoconazole initiators , 0 among itraconazole initiators , 2 among voriconazole initiators , and 1 among posaconazole initiators . Among the 50 patients who developed severe acute liver injury, 1 was subsequently hospitalized for acute liver injury within 6 months of the event, and 9 died within 6 months.

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What Is Viral Hepatitis

Hepatitis means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is often caused by a virus. In the United States, the most common types of viral hepatitis are hepatitis A, hepatitis B, and hepatitis C.

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Who Is At Risk For Hepatitis C

You are more likely to get hepatitis C if you

• Have injected drugs
• Had a blood transfusion or organ transplant before July 1992
• Have hemophilia and received clotting factor before 1987
• Have been on kidney dialysis
• Were born between 1945 and 1965
• Have abnormal liver tests or liver disease
• Have been in contact with blood or infected needles at work
• Have had tattoos or body piercings
• Have worked or lived in a prison
• Were born to a mother with hepatitis C
• Have HIV/AIDS
• Have had more than one sex partner in the last 6 months
• Have had a sexually transmitted disease
• Are a man who has had sex with men

If you are at high risk for hepatitis C, your health care provider will likely recommend that you get tested for it.

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