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v1.0.0
ICD-10 Guide
ICD-10 CodesB17

B17

Acute hepatitis B with delta-agent

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B17 is a billable code used to indicate a diagnosis of acute hepatitis b with delta-agent.

Key Diagnostic Point:

Acute hepatitis B with delta-agent is a viral infection caused by the hepatitis B virus (HBV) in conjunction with the hepatitis D virus (HDV). This condition is characterized by the presence of both viruses, which can lead to more severe liver disease than hepatitis B alone. The delta agent requires the presence of HBV to replicate, making co-infection a significant concern. Acute hepatitis B typically presents with symptoms such as jaundice, fatigue, abdominal pain, and elevated liver enzymes. Transmission occurs primarily through contact with infectious body fluids, including blood, semen, and vaginal secretions. High-risk populations include individuals with multiple sexual partners, intravenous drug users, and healthcare workers. Chronic management of patients with acute hepatitis B with delta-agent focuses on monitoring liver function, managing symptoms, and preventing complications such as cirrhosis and hepatocellular carcinoma. Early diagnosis and intervention are crucial to mitigate the risk of progression to chronic liver disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Co-infection with hepatitis D complicates clinical presentation and management.
  • Differentiation from other types of hepatitis requires specific serological testing.
  • Documentation must clearly indicate the presence of both HBV and HDV.
  • Management may involve multiple specialties, complicating coding.

Audit Risk Factors

  • Inadequate documentation of co-infection status.
  • Failure to specify acute versus chronic hepatitis.
  • Misclassification of hepatitis type due to incomplete lab results.
  • Lack of follow-up documentation for chronic management.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed serological test results and clinical findings.

Common Clinical Scenarios

Diagnosis and management of acute hepatitis B with delta-agent in high-risk populations.

Billing Considerations

Ensure documentation reflects the acute nature and co-infection status.

Gastroenterology

Documentation Requirements

Liver function tests, imaging studies, and treatment plans.

Common Clinical Scenarios

Management of liver complications arising from acute hepatitis B with delta-agent.

Billing Considerations

Document any liver biopsy results or treatment interventions.

Coding Guidelines

Inclusion Criteria

Use B17 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the acute nature of the condition and the presence of the delta agent
  • Include relevant lab results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use B17 When
No specific exclusions found.

Related Codes

Child Codes

7 codes
B17.0
Acute hepatitis B with delta-agent
B17.1
Acute hepatitis B with delta-agent
B17.10
Acute hepatitis C without hepatic coma
B17.11
Acute hepatitis C with hepatic coma
B17.2
Acute hepatitis C
B17.8
Other acute viral hepatitis, other specified types
B17.9
Acute viral hepatitis, unspecified

Related CPT Codes

86803CPT Code

Hepatitis B surface antigen (HBsAg) test

Clinical Scenario

Used to confirm the diagnosis of acute hepatitis B.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing for both HBV and HDV.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hepatitis conditions, improving the accuracy of data collection and reimbursement processes for acute hepatitis B with delta-agent.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hepatitis conditions, improving the accuracy of data collection and reimbursement processes for acute hepatitis B with delta-agent.

Reimbursement & Billing Impact

reimbursement processes for acute hepatitis B with delta-agent.

Resources

Clinical References

  • •
    CDC Hepatitis B Information

Coding & Billing References

  • •
    CDC Hepatitis B Information

Frequently Asked Questions

What is the significance of the delta-agent in hepatitis B?

The delta-agent (HDV) can worsen the severity of hepatitis B infection and increase the risk of liver complications, making it crucial to identify in patients.