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v1.0.0
ICD-10 Guide
ICD-10 CodesB17.1

B17.1

Acute hepatitis B with delta-agent

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

Code Description

ICD-10 B17.1 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), which is a defective virus that requires HBV for its replication. This condition is characterized by an acute onset of symptoms such as jaundice, fatigue, abdominal pain, and elevated liver enzymes. The delta agent can exacerbate the severity of hepatitis B, leading to a higher risk of fulminant hepatitis and chronic liver disease. Transmission occurs primarily through blood and bodily fluids, including sexual contact and sharing of needles. Acute hepatitis B with delta-agent can lead to significant liver complications, including cirrhosis and hepatocellular carcinoma, particularly in individuals who progress to chronic infection. Management involves monitoring liver function, providing supportive care, and in some cases, antiviral therapy. Understanding the interplay between HBV and HDV is crucial for effective treatment and management of patients with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Co-infection with hepatitis D complicates diagnosis and treatment.
  • Differentiating between acute and chronic hepatitis B can be challenging.
  • Requires understanding of multiple transmission routes.
  • Management may involve various specialties, increasing documentation complexity.

Audit Risk Factors

  • Inadequate documentation of co-infection status.
  • Failure to document the severity of liver disease.
  • Misclassification of acute versus chronic hepatitis.
  • Lack of detailed patient history regarding transmission routes.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

Diagnosis of acute hepatitis in patients with risk factors such as IV drug use or unprotected sex.

Billing Considerations

Need for comprehensive documentation of co-infections and treatment response.

Gastroenterology

Documentation Requirements

Liver function tests, imaging studies, and biopsy results if applicable.

Common Clinical Scenarios

Management of patients with acute hepatitis presenting with severe symptoms.

Billing Considerations

Documentation of liver complications and ongoing management strategies.

Coding Guidelines

Inclusion Criteria

Use B17.1 When
  • According to ICD
  • 10 guidelines, B17
  • 1 should be used when there is a confirmed diagnosis of acute hepatitis B with delta
  • It is important to document the acute nature of the infection and any associated complications

Exclusion Criteria

Do NOT use B17.1 When
  • Exclusion criteria include cases where hepatitis D is present without hepatitis B

Related CPT Codes

86803CPT Code

Hepatitis B surface antigen (HBsAg) test

Clinical Scenario

Used to confirm the diagnosis of hepatitis B.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists may require additional serological tests.

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, including the differentiation of acute hepatitis B with delta-agent, which aids in better tracking and management of these infections.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hepatitis conditions, including the differentiation of acute hepatitis B with delta-agent, which aids in better tracking and management of these infections.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hepatitis conditions, including the differentiation of acute hepatitis B with delta-agent, which aids in better tracking and management of these infections.

Resources

Clinical References

  • •
    CDC Hepatitis B Information

Coding & Billing References

  • •
    CDC Hepatitis B Information

Frequently Asked Questions

What is the difference between acute hepatitis B and acute hepatitis B with delta-agent?

Acute hepatitis B is caused solely by the hepatitis B virus, while acute hepatitis B with delta-agent involves co-infection with the hepatitis D virus, which can lead to more severe liver disease.