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v1.0.0
ICD-10 Guide
ICD-10 CodesB17.11

B17.11

Acute hepatitis C with hepatic coma

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

Code Description

ICD-10 B17.11 is a billable code used to indicate a diagnosis of acute hepatitis c with hepatic coma.

Key Diagnostic Point:

Acute hepatitis C is a viral infection caused by the hepatitis C virus (HCV), leading to inflammation of the liver. The acute phase can present with a range of symptoms, including jaundice, fatigue, abdominal pain, and elevated liver enzymes. In severe cases, acute hepatitis C can progress to hepatic coma, a life-threatening condition characterized by a significant decline in liver function, resulting in the accumulation of toxins in the bloodstream. Hepatic coma is often associated with hepatic encephalopathy, where the patient may exhibit confusion, altered consciousness, and neurological deficits. Transmission of HCV primarily occurs through blood-to-blood contact, including sharing needles, transfusions, and less commonly through sexual contact. Chronic management of hepatitis C involves antiviral therapies aimed at eradicating the virus and preventing progression to chronic liver disease, cirrhosis, or hepatocellular carcinoma. Regular monitoring of liver function and screening for complications is essential in managing patients with acute hepatitis C, especially those who develop hepatic coma.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of acute vs. chronic hepatitis C.
  • Need for accurate documentation of hepatic coma and its severity.
  • Differentiation from other types of hepatitis codes.
  • Potential for co-morbid conditions affecting liver function.

Audit Risk Factors

  • Inadequate documentation of hepatic coma severity.
  • Failure to specify acute vs. chronic hepatitis.
  • Misclassification of hepatitis type.
  • Lack of supporting lab results for diagnosis.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed liver function tests, imaging studies, and clinical notes on hepatic coma.

Common Clinical Scenarios

Patients presenting with jaundice, confusion, or altered mental status due to liver failure.

Billing Considerations

Ensure all lab results and imaging are documented to support the diagnosis of acute hepatitis C with hepatic coma.

Infectious Disease

Documentation Requirements

History of exposure, serological tests for HCV, and treatment plans.

Common Clinical Scenarios

Patients with recent HCV infection presenting with acute symptoms.

Billing Considerations

Document any co-infections or complications that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use B17.11 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the acute phase and any associated complications
  • Include relevant lab results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use B17.11 When
No specific exclusions found.

Related CPT Codes

86803CPT Code

HCV antibody test

Clinical Scenario

Used to confirm diagnosis of hepatitis C.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Gastroenterology may require additional liver function tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acute hepatitis C, improving the accuracy of data collection and reimbursement processes. B17.11 provides a clear distinction between acute and chronic conditions, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acute hepatitis C, improving the accuracy of data collection and reimbursement processes. B17.11 provides a clear distinction between acute and chronic conditions, facilitating better patient management.

Reimbursement & Billing Impact

reimbursement processes. B17.11 provides a clear distinction between acute and chronic conditions, facilitating better patient management.

Resources

Clinical References

  • •
    CDC Hepatitis C Information

Coding & Billing References

  • •
    CDC Hepatitis C Information

Frequently Asked Questions

What are the common symptoms of acute hepatitis C?

Common symptoms include jaundice, fatigue, abdominal pain, nausea, and dark urine. Some patients may also experience fever and joint pain.