ICD-10 Coding for Hepatitis B(B16.0, B18.1)
Complete ICD-10-CM coding and documentation guide for Hepatitis B. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hepatitis B
B16-B19Primary Range
Viral hepatitis
This range includes all forms of viral hepatitis, with specific codes for acute and chronic hepatitis B.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B16.0 | Acute hepatitis B with delta-agent and hepatic coma | Use when acute hepatitis B is confirmed with delta-agent and hepatic coma. |
|
| B18.1 | Chronic viral hepatitis B without delta-agent | Use for chronic hepatitis B confirmed by laboratory tests. |
|
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 chronic hepatitis B
Essential facts and insights about Hepatitis B
Primary ICD-10-CM Codes for hepatitis brother
Decision Criteria
clinical Criteria
- Presence of delta-agent and hepatic coma
Applicable To
- Acute hepatitis B with delta-agent
- Hepatic coma
Clinical Validation Requirements
- IgM anti-HBc positive
- HBsAg positive within 6 months
- Presence of hepatic coma
Code-Specific Risks
- Misclassification as chronic hepatitis
Coding Notes
- Ensure documentation specifies delta-agent and hepatic coma.
B18.1 - Chronic viral hepatitis B without delta-agent
Use for chronic hepatitis B confirmed by laboratory tests.
Applicable To
- Chronic hepatitis B without delta-agent
Excludes
- Acute hepatitis B (B16.0-B16.9)
Clinical Validation Requirements
- HBsAg positive for more than 6 months
- HBV DNA >2,000 IU/mL
Coding Notes
Document HBsAg status and duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hepatitis B complicating pregnancy
O98.2-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hepatitis B to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B16.0.
Impact
Clinical: Misleading clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Verify lab results before coding, Review patient history for chronicity
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use B18.1 if duration is over 6 months.
Impact
Incorrect coding of chronic hepatitis B as acute.
Mitigation Strategy
Ensure documentation supports chronic status with lab results.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hepatitis B
Use these documentation templates to ensure complete and accurate documentation for Hepatitis B. These templates include all required elements for proper coding and billing.
Chronic hepatitis B management
Specialty: GastroenterologyRequired Elements
- Patient history
- HBsAg status
- HBV DNA levels
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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