Acute hepatitis B with delta-agent infection
ICD-10 B16.2 is a billable code used to indicate a diagnosis of acute hepatitis b with delta-agent infection.
Acute hepatitis B with delta-agent infection refers to a viral infection of the liver caused by the hepatitis B virus (HBV) in conjunction with the hepatitis D virus (HDV), which can only propagate in the presence of HBV. This condition is characterized by the rapid onset of symptoms such as jaundice, fatigue, abdominal pain, and elevated liver enzymes. The delta agent, or HDV, complicates the clinical picture, often leading to more severe liver disease than HBV infection alone. Transmission occurs primarily through blood and bodily fluids, with high-risk groups including intravenous drug users and individuals with multiple sexual partners. Acute hepatitis B can resolve spontaneously, but the presence of HDV increases the risk of progression to chronic hepatitis and severe liver complications, including cirrhosis and hepatocellular carcinoma. Management typically involves monitoring liver function and, in some cases, antiviral therapy. Understanding the interplay between HBV and HDV is crucial for effective treatment and prevention strategies.
Detailed history of liver function tests, serology for HBV and HDV, and imaging studies.
Patients presenting with jaundice, elevated liver enzymes, and a history of high-risk behaviors.
Ensure all laboratory results are documented to support the diagnosis of acute hepatitis B with delta-agent.
Comprehensive patient history, including risk factors for HBV and HDV, and treatment response.
Patients with acute hepatitis symptoms and a history of exposure to infected individuals.
Document any antiviral treatments and patient follow-up plans.
Used to confirm the diagnosis of hepatitis B.
Document the reason for testing and results.
Gastroenterology may require additional tests for HDV.
The delta-agent (HDV) can only infect individuals who are already infected with HBV, leading to more severe liver disease and complications compared to HBV infection alone.
