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ICD-10 Guide
ICD-10 CodesB19.11

B19.11

Unspecified viral hepatitis B with hepatic coma

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

Code Description

ICD-10 B19.11 is a billable code used to indicate a diagnosis of unspecified viral hepatitis b with hepatic coma.

Key Diagnostic Point:

Unspecified viral hepatitis B with hepatic coma refers to a severe form of hepatitis B infection characterized by inflammation of the liver caused by the hepatitis B virus (HBV). This condition can lead to hepatic coma, a life-threatening complication where the liver fails to perform its functions adequately, resulting in the accumulation of toxins in the bloodstream. Hepatitis B is primarily transmitted through contact with infectious body fluids, such as blood, semen, and vaginal secretions. Chronic management of hepatitis B includes antiviral medications, regular monitoring of liver function, and screening for liver cancer. Patients may experience complications such as cirrhosis, liver failure, and hepatocellular carcinoma. The diagnosis of hepatic coma is based on clinical signs, laboratory tests indicating liver dysfunction, and the patient's mental status. Effective management and timely intervention are crucial to prevent progression to more severe liver disease.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between acute and chronic hepatitis B
  • Identifying the presence of hepatic coma
  • Understanding the nuances of liver function tests
  • Interpreting clinical signs and symptoms accurately

Audit Risk Factors

  • Inadequate documentation of hepatic coma
  • Failure to specify the type of hepatitis B infection
  • Lack of supporting lab results for liver function
  • Misclassification of acute versus chronic hepatitis

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed liver function tests, imaging studies, and patient history.

Common Clinical Scenarios

Management of chronic hepatitis B, monitoring for liver cancer, and treatment of hepatic coma.

Billing Considerations

Ensure documentation reflects the severity of liver disease and any complications.

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis and management of acute hepatitis B infections and co-infections.

Billing Considerations

Documenting the transmission route and patient education on prevention.

Coding Guidelines

Inclusion Criteria

Use B19.11 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's condition, including the presence of hepatic coma and any relevant lab results

Exclusion Criteria

Do NOT use B19.11 When
  • Exclude codes for other types of hepatitis unless specified

Related CPT Codes

86803CPT Code

Hepatitis B surface antigen (HBsAg)

Clinical Scenario

Used to confirm diagnosis of hepatitis B infection.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Gastroenterology may require additional tests for liver function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hepatitis B and its complications, improving data accuracy and patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hepatitis B and its complications, improving data accuracy and patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hepatitis B and its complications, improving data accuracy and patient care management.

Resources

Clinical References

  • •
    CDC Hepatitis B Information

Coding & Billing References

  • •
    CDC Hepatitis B Information

Frequently Asked Questions

What is the difference between B19.11 and B19.10?

B19.11 includes the presence of hepatic coma, indicating a more severe condition requiring different management compared to B19.10, which does not include coma.