2025 ICD-10-CM code B18
(Valid) Effective Date: N/A Certain infectious and parasitic diseases - Chronic viral hepatitis 1 Feed
Chronic viral hepatitis. Includes: Carrier of viral hepatitis.
Medical necessity for diagnostic testing and treatment is established based on the presence of signs, symptoms, or laboratory evidence of chronic viral hepatitis. The specific medical necessity criteria may vary depending on the payer and the treatment being requested (e.g., antiviral therapy).
Symptoms vary depending on the causing virus and can range from asymptomatic to severe manifestations like cirrhosis and jaundice. Diagnosis involves clinical evaluation, blood tests, and potentially liver biopsy. Treatment focuses on supportive care and antiviral medications, with prevention through vaccination being crucial.
In simple words: Chronic viral hepatitis is a long-term liver disease caused by a virus. It can be mild or cause serious problems like liver damage.Different hepatitis viruses spread in different ways.Symptoms can include feeling tired, sick, stomach pain, and yellowing of the skin.A doctor can diagnose it with blood tests and exams. Treatment may include rest, fluids, and medicine.
Chronic viral hepatitis refers to a chronic inflammatory liver disease caused by infection with a hepatitis virus. The inflammation is typically slow to develop and long-lasting, with symptoms often less severe than acute hepatitis. Different hepatitis viruses have various modes of transmission.Symptoms can vary depending on the specific virus but may include malaise, fatigue, poor appetite, fever, abdominal discomfort. Severe cases can lead to cirrhosis, spleen enlargement, spiderlike blood vessels under the skin, jaundice, and ascites. Diagnosis involves evaluating symptoms, history, physical examination, and laboratory tests (antibody detection, liver function tests, liver biopsy). Treatment focuses on supportive care (nutrition, rehydration) and antiviral medications. Vaccination is recommended for prevention.
Example 1: A patient presents with fatigue, abdominal discomfort, and jaundice. Blood tests reveal elevated liver enzymes and the presence of hepatitis C antibodies, confirming chronic hepatitis C., An asymptomatic individual is found to be a carrier of hepatitis B during routine blood screening.They receive counseling on preventing transmission and are monitored for disease progression., A patient with a history of intravenous drug use develops cirrhosis and liver cancer.This is attributed to chronic hepatitis C acquired through needle sharing.
Documentation should include symptoms, history of potential exposure, physical exam findings, results of serological tests for hepatitis viruses, liver function tests, and imaging studies (if performed).Details about antiviral treatment and patient education should also be recorded.
- Specialties:Gastroenterology, Hepatology, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home