Viral hepatitis C with hepatic coma
ICD-10 B19.2 is a billable code used to indicate a diagnosis of viral hepatitis c with hepatic coma.
Viral hepatitis C is a liver infection caused by the hepatitis C virus (HCV), which can lead to chronic liver disease and serious complications, including hepatic coma. Hepatic coma, or hepatic encephalopathy, occurs when the liver fails to remove toxins from the blood, leading to a decline in brain function. This condition is often a result of severe liver damage due to chronic hepatitis C infection. Transmission of HCV primarily occurs through blood-to-blood contact, including sharing needles, receiving contaminated blood products, and less commonly through sexual contact. Chronic management of hepatitis C involves antiviral therapy aimed at eradicating the virus, monitoring liver function, and managing complications. Patients may require regular liver function tests, imaging studies, and possibly liver biopsy to assess the extent of liver damage. Complications of chronic hepatitis C include cirrhosis, liver cancer, and hepatic coma, necessitating a multidisciplinary approach to care, including hepatology, infectious disease, and supportive care.
Detailed liver function tests, imaging results, and treatment plans.
Management of chronic hepatitis C, monitoring for liver complications.
Ensure documentation reflects the severity of liver disease and any encephalopathy symptoms.
History of HCV infection, treatment history, and response to therapy.
Initiation of antiviral therapy and management of co-infections.
Document any co-morbid infections that may complicate hepatitis C management.
Used to confirm diagnosis of hepatitis C.
Document the reason for testing and results.
Ensure proper linkage to the diagnosis of hepatitis C.
Hepatic coma in patients with hepatitis C is primarily caused by the liver's inability to detoxify the blood, leading to the accumulation of toxins such as ammonia, often due to severe liver damage or cirrhosis.
