Viral hepatitis B with hepatic coma
ICD-10 B19.0 is a billable code used to indicate a diagnosis of viral hepatitis b with hepatic coma.
Viral hepatitis B with hepatic coma is a severe manifestation of hepatitis B virus (HBV) infection, characterized by inflammation of the liver and the development of hepatic encephalopathy. Hepatic coma occurs when the liver fails to detoxify harmful substances, leading to a buildup of toxins in the bloodstream that affect brain function. Patients may present with confusion, altered consciousness, and coma. The condition can arise from acute or chronic hepatitis B infections, particularly in those with underlying liver disease. Transmission of HBV occurs primarily through contact with infectious body fluids, including blood, semen, and vaginal secretions. Chronic management involves antiviral therapy, monitoring liver function, and addressing complications such as cirrhosis or liver cancer. The prognosis can vary significantly based on the severity of liver damage and the timeliness of medical intervention.
Detailed liver function tests, imaging studies, and clinical notes on mental status.
Management of acute hepatitis B cases with hepatic encephalopathy.
Ensure documentation reflects the severity of liver dysfunction and any interventions performed.
History of HBV exposure, vaccination status, and treatment response.
Chronic HBV management and complications leading to hepatic coma.
Document any co-infections or complications that may affect treatment.
Used for inpatient management of patients with hepatic coma.
Detailed history, examination, and medical decision-making.
Gastroenterology specialists should document liver function tests and mental status assessments.
Symptoms include confusion, disorientation, drowsiness, and in severe cases, loss of consciousness. Patients may also exhibit signs of liver failure such as jaundice and ascites.
