Updated on: March 16, 2016

Viral Hepatitis Coding in ICD-10-CM

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Original story posted on: January 6, 2012

"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). 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). HBV infection can cause acute illness and lead to chronic or lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure and death. HBV is transmitted through percutaneous (occurring via a puncture in the skin) 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 C is a liver disease caused by the hepatitis C virus (HCV), sometimes resulting in an acute illness but most often becoming a dormant, chronic infection that can lead to cirrhosis (scarring), liver failure, liver cancer, and death. Chronic HCV infection develops in a majority of affected people, most of whom do not know they are infected since they have no symptoms. HCV is spread by contact with the blood of an infected person. There is no vaccine for hepatitis C.

Hepatitis D is a serious liver disease caused by the hepatitis D virus (HDV), 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 (occurring via a puncture through the skin) or mucosal contact with infectious blood.

Hepatitis E is a liver infection caused by the hepatitis E virus (HEV) that usually results in a self-limited disease. HEV infection primarily is transmitted via the fecal-oral route, mostly through consumption of contaminated water. While rare in the United States, hepatitis E is common in many other parts of the world. There is currently no approved vaccine for hepatitis E.

Source: Centers for Disease Control and Prevention (www.cdc.gov).

Exercise:

Because there are so many ICD-10-CM codes available to classify hepatitis, the following exercise has been prepared as an educational tool.

(In order to access the 2012 ICD-10-CM tabular list and index referenced below, go online to

http://www.cms.gov/ICD10/11b14_2012_ICD10CM_and_GEMs.asp#TopOfPage.

Under the “Downloads” subhead, scroll down and download the folder titled “2012 Code Tables and Index [ZIP, 16.7MB].” Once the folder is open you will find several files, including  the “ICD10CM_2012_Full_Tabular.pdf” – this is the 2012 ICD-10-CM Tabular List of Diseases and Injuries needed for this exercise – and the “ICD10CM_2012_Full_DIndex.pdf” – this is the 2012 ICD-10-CM Index to Diseases and Injuries, which also is needed.)

 


 

Use the ICD-10-CM diseases index and the tabular list to complete this chart. The first row has been completed as an example. Do not code from this chart, as it is being presented for educational purposes only.

VIRAL HEPATITIS

ICD-10-CM CODE

Acute delta-(super) infection of hepatitis B carrier

 

B17.0

 

Acute hepatitis B with delta-agent with hepatic coma

 

 

 

Acute hepatitis B with delta-agent without hepatic coma

 

 

 

Acute hepatitis B without delta-agent and without hepatic coma

 

 

 

 

 

Acute hepatitis B without delta-agent with hepatic coma

 

 

 

 

 

Acute hepatitis C with hepatic coma

 

 

 

 

 

Acute hepatitis C without hepatic coma

 

 

 

 

Acute hepatitis E

 

 

 

 


 

VIRAL HEPATITIS

ICD-10-CM CODE

 

 

Chronic viral hepatitis B with delta-agent

 

 

 

 

Chronic viral hepatitis B without delta-agent

 

 

 

Chronic viral hepatitis C

 

 

 

 

Hepatitis A with hepatic coma

 

 

 

 

Hepatitis A without hepatic coma

 

 

 

 

Hepatitis non-A non-B

 

 

 


 

ANSWER KEY:

 

VIRAL HEPATITIS

ICD-10-CM CODE

Acute delta-(super) infection of hepatitis B carrier

 

B17.0

 

Acute hepatitis B with delta-agent with hepatic coma

 

 

B16.0

Acute hepatitis B with delta-agent without hepatic coma

 

B16.1

 

Acute hepatitis B without delta-agent and without hepatic coma

 

 

B16.9

 

 

Acute hepatitis B without delta-agent with hepatic coma

 

 

B16.2

 

 

Acute hepatitis C with hepatic coma

 

 

B17.11

 

 

Acute hepatitis C without hepatic coma

 

 

 

 

B17.10

Acute hepatitis E

 

 

B17.2

 


 

 

VIRAL HEPATITIS

ICD-10-CM CODE

 

 

Chronic viral hepatitis B with delta-agent

 

B18.0

 

 

Chronic viral hepatitis B without delta-agent

 

B18.1

 

Chronic viral hepatitis C

 

 

B18.2

 

Hepatitis A with hepatic coma

 

 

B15.0

 

Hepatitis A without hepatic coma

 

 

B15.9

 

Hepatitis non-A non-B

 

B17.8

 

 

Lolita M. Jones, MSHS, RHIA, CCS

Lolita M. Jones, MSHS, RHIA, CCS has provided Product Consultant services to a warehousing and analytics start-up that developed and marketed decision support software, health outcomes services, and regulatory compliance toolsets. Her goal is to combine her medical coding expertise with data mining-pattern recognition, to help improve data accuracy and compliance in medical coding and reimbursement (i.e., ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, modifiers, DRGs, APCs, and eAPGs). Ms. Jones also provides remote and on-site training/consulting in her newly developed Healthcare Data Mining Clinic educational series. She is currently pursuing a Graduate Certificate in Healthcare Data Analytics from a top university. Ms. Jones is based in New York and can be reached at .