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v1.0.0
ICD-10 Guide
ICD-10 CodesB17.2

B17.2

Acute hepatitis C

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

Code Description

ICD-10 B17.2 is a billable code used to indicate a diagnosis of acute hepatitis c.

Key Diagnostic Point:

Acute hepatitis C is a viral infection caused by the hepatitis C virus (HCV), which primarily affects the liver. The infection can be asymptomatic or may present with symptoms such as fatigue, jaundice, abdominal pain, and dark urine. Acute hepatitis C is typically diagnosed through serological tests that detect antibodies to HCV and the presence of HCV RNA. The transmission of HCV occurs primarily through blood-to-blood contact, which can happen via sharing needles, transfusions of unscreened blood products, or from mother to child during childbirth. While many individuals may clear the virus spontaneously within six months, a significant proportion may progress to chronic hepatitis C, leading to long-term liver complications such as cirrhosis and hepatocellular carcinoma. Management of acute hepatitis C focuses on monitoring liver function, patient education regarding transmission prevention, and considering antiviral therapy in cases of persistent infection. Early diagnosis and intervention are crucial to prevent the progression to chronic disease and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic hepatitis C
  • Understanding the various transmission routes
  • Recognizing the need for follow-up testing
  • Managing co-infections with other hepatitis viruses

Audit Risk Factors

  • Inadequate documentation of symptoms and laboratory results
  • Failure to specify acute versus chronic hepatitis
  • Misclassification of hepatitis C as a non-viral etiology
  • Lack of follow-up documentation for chronic management

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed liver function tests, serological markers, and patient history.

Common Clinical Scenarios

Patients presenting with jaundice, elevated liver enzymes, or a history of IV drug use.

Billing Considerations

Ensure documentation reflects the acute nature of the infection and any treatment plans.

Infectious Disease

Documentation Requirements

Comprehensive patient history, risk factors for transmission, and follow-up plans.

Common Clinical Scenarios

Patients with acute hepatitis C presenting with systemic symptoms or co-infections.

Billing Considerations

Document any antiviral therapy initiated and the rationale for treatment decisions.

Coding Guidelines

Inclusion Criteria

Use B17.2 When
  • According to ICD
  • 10 coding guidelines, B17
  • 2 should be used for acute hepatitis C diagnosed through clinical evaluation and laboratory testing
  • It is important to document the acute nature of the infection and any relevant symptoms or complications

Exclusion Criteria

Do NOT use B17.2 When
No specific exclusions found.

Related CPT Codes

86803CPT Code

HCV antibody test

Clinical Scenario

Used to confirm diagnosis of acute 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 hepatitis C, improving the ability to track and manage cases of acute infection and its complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hepatitis C, improving the ability to track and manage cases of acute infection and its complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hepatitis C, improving the ability to track and manage cases of acute infection and its complications.

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 fatigue, jaundice, abdominal pain, dark urine, and loss of appetite. However, many individuals may remain asymptomatic.