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ICD-10 Guide
ICD-10 CodesB18.8

B18.8

Other chronic viral hepatitis

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

Code Description

ICD-10 B18.8 is a billable code used to indicate a diagnosis of other chronic viral hepatitis.

Key Diagnostic Point:

Chronic viral hepatitis refers to the long-term inflammation of the liver caused by viral infections, primarily hepatitis B and C, but also includes other viral agents such as hepatitis D and E. Chronic hepatitis can lead to significant liver damage, cirrhosis, and hepatocellular carcinoma. Patients may remain asymptomatic for years, making early detection challenging. Symptoms, when present, can include fatigue, jaundice, abdominal pain, and elevated liver enzymes. Management of chronic viral hepatitis involves regular monitoring of liver function, antiviral therapy, and lifestyle modifications to reduce liver strain. The goal of treatment is to suppress viral replication, prevent progression to cirrhosis, and reduce the risk of liver cancer. Patients are also advised to avoid alcohol and certain medications that can exacerbate liver damage. Regular follow-ups and liver imaging may be necessary to assess the degree of liver fibrosis and monitor for complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of viral agents causing chronic hepatitis
  • Need for precise documentation of viral type and stage
  • Potential for co-infections (e.g., HIV, other hepatitis viruses)
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of viral type
  • Failure to document chronicity
  • Misclassification of acute vs. chronic hepatitis
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Hepatology

Documentation Requirements

Detailed history of liver disease, viral load tests, liver biopsy results, and treatment plans.

Common Clinical Scenarios

Management of patients with chronic hepatitis B or C, monitoring for liver cirrhosis.

Billing Considerations

Ensure documentation reflects the chronic nature and any complications such as cirrhosis.

Infectious Disease

Documentation Requirements

History of exposure, serological testing results, and treatment response.

Common Clinical Scenarios

Patients with co-infections or those requiring antiviral therapy.

Billing Considerations

Document any co-infections and their management to support coding.

Coding Guidelines

Inclusion Criteria

Use B18.8 When
  • Follow the official ICD
  • CM coding guidelines for chronic conditions
  • Ensure accurate documentation of the type of viral hepatitis and any associated complications

Exclusion Criteria

Do NOT use B18.8 When
  • Exclude acute hepatitis codes unless specified

Related CPT Codes

86803CPT Code

HCV antibody test

Clinical Scenario

Used for screening patients suspected of having chronic hepatitis C.

Documentation Requirements

Document the reason for testing and any previous test results.

Specialty Considerations

Hepatology specialists should ensure comprehensive documentation of patient history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic viral hepatitis, improving the ability to track and manage these conditions effectively. It has also enhanced the granularity of data for research and public health monitoring.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic viral hepatitis, improving the ability to track and manage these conditions effectively. It has also enhanced the granularity of data for research and public health monitoring.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of chronic viral hepatitis, improving the ability to track and manage these conditions effectively. It has also enhanced the granularity of data for research and public health monitoring.

Resources

Clinical References

  • •
    CDC Viral Hepatitis Resources

Coding & Billing References

  • •
    CDC Viral Hepatitis Resources

Frequently Asked Questions

What is the difference between acute and chronic viral hepatitis?

Acute viral hepatitis is a short-term illness that typically resolves within six months, while chronic viral hepatitis persists for six months or longer and can lead to serious liver complications.