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ICD-10 Guide
ICD-10 CodesB17.10

B17.10

Acute hepatitis C without hepatic coma

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

Code Description

ICD-10 B17.10 is a billable code used to indicate a diagnosis of acute hepatitis c without 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. This condition is characterized by the sudden onset of symptoms such as fatigue, jaundice, abdominal pain, and elevated liver enzymes. Acute hepatitis C can be asymptomatic in many cases, making it challenging to diagnose without appropriate testing. The virus is primarily transmitted through blood-to-blood contact, which can occur through sharing needles, transfusions of unscreened blood, or less commonly, sexual contact. While most adults will clear the virus spontaneously within six months, a significant percentage may develop chronic hepatitis C, which can lead to serious liver complications such as cirrhosis and hepatocellular carcinoma. Management of acute hepatitis C focuses on supportive care, monitoring liver function, and educating patients about transmission prevention. Early diagnosis and intervention are crucial to prevent progression to chronic infection and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic hepatitis C
  • Understanding transmission routes and risk factors
  • Recognizing asymptomatic cases
  • Monitoring for potential complications

Audit Risk Factors

  • Inadequate documentation of symptoms and lab results
  • Misclassification of acute vs. chronic hepatitis C
  • Failure to document risk factors for transmission
  • Lack of follow-up care documentation

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed history of present illness, lab results, and treatment plans.

Common Clinical Scenarios

Patients presenting with jaundice, elevated liver enzymes, or a history of potential exposure.

Billing Considerations

Ensure all lab results are documented, including HCV RNA and genotype testing.

Infectious Disease

Documentation Requirements

Comprehensive patient history, including risk factors and previous infections.

Common Clinical Scenarios

Patients with recent exposure to HCV or those with unexplained liver enzyme elevation.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use B17.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of acute hepatitis C without hepatic coma
  • Include relevant lab results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use B17.10 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 accuracy of data collection and management strategies for patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hepatitis C, improving the accuracy of data collection and management strategies for patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hepatitis C, improving the accuracy of data collection and management strategies for patients.

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, nausea, and elevated liver enzymes. However, many patients may be asymptomatic.