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v1.0.0
ICD-10 Guide
ICD-10 CodesB19.10

B19.10

Unspecified viral hepatitis B without hepatic coma

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

Code Description

ICD-10 B19.10 is a billable code used to indicate a diagnosis of unspecified viral hepatitis b without hepatic coma.

Key Diagnostic Point:

Unspecified viral hepatitis B without hepatic coma refers to an infection of the liver caused by the hepatitis B virus (HBV) that does not present with hepatic coma. This condition can range from mild to severe and may be acute or chronic. Hepatitis B is primarily transmitted through contact with infectious body fluids, such as blood, semen, or vaginal secretions. Common transmission routes include unprotected sexual contact, sharing needles, and from mother to child during childbirth. Chronic hepatitis B can lead to serious liver complications, including cirrhosis, liver failure, and hepatocellular carcinoma. Patients may remain asymptomatic for years, making regular screening and monitoring essential for those at risk. Management of chronic hepatitis B often involves antiviral medications, regular liver function tests, and monitoring for liver damage. The absence of hepatic coma indicates that the patient is not experiencing severe liver failure, which is a critical distinction for treatment and coding purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for differentiation between acute and chronic hepatitis B
  • Potential for co-infection with other hepatitis viruses
  • Documentation of transmission routes and risk factors

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify acute vs. chronic status
  • Lack of documentation regarding transmission routes
  • Inconsistent coding of related liver conditions

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed history of liver function tests, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with elevated liver enzymes, jaundice, or abdominal pain.

Billing Considerations

Ensure documentation reflects the chronicity of the condition and any complications.

Infectious Disease

Documentation Requirements

History of exposure, risk factors, and laboratory confirmation of HBV infection.

Common Clinical Scenarios

Patients with recent travel history or high-risk behaviors presenting with hepatitis symptoms.

Billing Considerations

Document any co-infections and vaccination status.

Coding Guidelines

Inclusion Criteria

Use B19.10 When
  • Follow official coding guidelines for viral hepatitis, ensuring accurate documentation of the patient's clinical status
  • Include details on the duration of symptoms, laboratory results, and any treatments administered

Exclusion Criteria

Do NOT use B19.10 When
No specific exclusions found.

Related CPT Codes

86803CPT Code

Hepatitis B surface antigen (HBsAg)

Clinical Scenario

Used for initial diagnosis of hepatitis B infection.

Documentation Requirements

Document the reason for testing and any relevant patient history.

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 B, improving the accuracy of diagnosis and treatment tracking. B19.10 provides a clear distinction for unspecified cases, aiding in better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hepatitis B, improving the accuracy of diagnosis and treatment tracking. B19.10 provides a clear distinction for unspecified cases, aiding in better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hepatitis B, improving the accuracy of diagnosis and treatment tracking. B19.10 provides a clear distinction for unspecified cases, aiding in better patient management.

Resources

Clinical References

  • •
    CDC Hepatitis B Information

Coding & Billing References

  • •
    CDC Hepatitis B Information

Frequently Asked Questions

What is the difference between acute and chronic hepatitis B?

Acute hepatitis B is a short-term illness that occurs within the first six months after exposure to the virus, while chronic hepatitis B is a long-term infection that can last for years and may lead to serious liver complications.