ICD-10 Coding for History of Hepatitis C Virus(Z86.19, B18.2)
Complete ICD-10-CM coding and documentation guide for History of Hepatitis C Virus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Hepatitis C Virus
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.19 | Personal history of other infectious and parasitic diseases | Use when the patient has a documented history of resolved hepatitis C virus infection. |
|
| B18.2 | Chronic viral hepatitis C | Use when the patient has active chronic hepatitis C virus infection. |
|
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 history of hepatitis C
Essential facts and insights about History of Hepatitis C Virus
Primary ICD-10-CM Codes for history of hepatitis c virus
Decision Criteria
clinical Criteria
- HCV RNA negative on two separate tests
documentation Criteria
- Documented history of resolved HCV infection
Applicable To
- Resolved hepatitis C virus infection
Excludes
- Active hepatitis C virus infection (B18.2)
Clinical Validation Requirements
- HCV RNA negative on two separate occasions
- Documented history of resolved HCV infection
Code-Specific Risks
- Incorrectly coding active HCV as resolved
Coding Notes
- Ensure documentation clearly states the resolved status of HCV.
B18.2 - Chronic viral hepatitis C
Use when the patient has active chronic hepatitis C virus infection.
Applicable To
- Chronic hepatitis C virus infection
Excludes
- Resolved hepatitis C virus infection (Z86.19)
Clinical Validation Requirements
- Detectable HCV RNA
- Elevated liver enzymes
Coding Notes
Ensure documentation supports active infection status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 History of Hepatitis C Virus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.19.
Impact
Clinical: Misclassification of HCV status., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include RNA test results in documentation, Review patient history thoroughly
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify HCV RNA status to ensure correct code selection.
Impact
Inadequate documentation of HCV status can lead to audit issues.
Mitigation Strategy
Ensure all relevant lab results and treatment history are documented.
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 History of Hepatitis C Virus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Hepatitis C Virus
Use these documentation templates to ensure complete and accurate documentation for History of Hepatitis C Virus. These templates include all required elements for proper coding and billing.
Resolved HCV infection
Specialty: Primary CareRequired Elements
- Patient history
- HCV RNA test results
- Treatment history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Hepatitis C Virus? Ask your questions below.