ICD-10 Coding for Hepatitis B Carrier(B18.0, B18.1, B17.0)
Complete ICD-10-CM coding and documentation guide for Hepatitis B Carrier. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hepatitis B Carrier
B18-B19Primary Range
Chronic viral hepatitis and other viral hepatitis
This range includes chronic hepatitis B with and without delta-agent, which is relevant for coding hepatitis B carriers.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B18.0 | Chronic viral hepatitis B with delta-agent | Use when chronic hepatitis B is confirmed with delta-agent coinfection. |
|
| B18.1 | Chronic viral hepatitis B without delta-agent | Use when chronic hepatitis B is confirmed without delta-agent. |
|
| B17.0 | Acute delta-(super) infection of hepatitis B carrier | Use for acute superinfection in a known hepatitis B carrier. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hepatitis B carrier
Essential facts and insights about Hepatitis B Carrier
Primary ICD-10-CM Codes for hepatitis brother carrier
Decision Criteria
clinical Criteria
- Presence of HDV RNA and chronic HBV markers.
Applicable To
- Chronic hepatitis B with delta-agent coinfection
Excludes
- Acute delta-(super) infection of hepatitis B carrier (B17.0)
Clinical Validation Requirements
- HBsAg positive for more than 6 months
- HDV RNA positive
- HBV DNA ≥2000 IU/mL
Code-Specific Risks
- Incorrectly coding without confirming delta-agent presence.
Coding Notes
- Ensure documentation specifies delta-agent presence for accurate coding.
B18.1 - Chronic viral hepatitis B without delta-agent
Use when chronic hepatitis B is confirmed without delta-agent.
Applicable To
- Chronic hepatitis B without delta-agent
Excludes
- Chronic hepatitis B with delta-agent (B18.0)
Clinical Validation Requirements
- HBsAg positive for more than 6 months
- HBV DNA levels indicating chronic infection
Coding Notes
Ensure documentation excludes delta-agent presence for accurate coding.
B17.0 - Acute delta-(super) infection of hepatitis B carrier
Use for acute superinfection in a known hepatitis B carrier.
Applicable To
- Acute delta superinfection in established HBV carrier
Excludes
- Chronic hepatitis B with delta-agent (B18.0)
Clinical Validation Requirements
- IgM anti-HDV positive
- Acute presentation in known HBV carrier
Coding Notes
Ensure acute status is documented for correct coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other problems related to lifestyle
Z72.89Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hepatitis B Carrier to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B18.0.
Impact
Clinical: Misclassification of hepatitis type., Regulatory: Potential audit issues., Financial: Incorrect reimbursement rates.
Mitigation Strategy
Always check and document delta-agent status.
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use B18.0 or B18.1 based on delta-agent presence.
Impact
Failure to document delta-agent status can lead to audit flags.
Mitigation Strategy
Implement checks for delta-agent documentation in all chronic hepatitis B cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hepatitis B Carrier, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hepatitis B Carrier
Use these documentation templates to ensure complete and accurate documentation for Hepatitis B Carrier. These templates include all required elements for proper coding and billing.
Chronic Hepatitis B Carrier with Delta-Agent
Specialty: HepatologyRequired Elements
- HBsAg positive status
- HDV RNA positive
- HBV DNA levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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