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ICD-10 Coding for Chronic Hepatitis B in Non-Immune Patients(B18.1)

Complete ICD-10-CM coding and documentation guide for Chronic Hepatitis B in Non-Immune Patients. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Non-immune Hepatitis BHepatitis B in Vaccine Non-responders

Related ICD-10 Code Ranges

Complete code families applicable to Chronic Hepatitis B in Non-Immune Patients

B16-B19Primary Range

Viral Hepatitis

This range includes all types of viral hepatitis, with B18.1 specifically for chronic hepatitis B without delta-agent.

Carrier and Immunization Status

Includes codes for carrier status and immunization, relevant for documenting non-immune status.

Key Information: ICD-10 code for chronic hepatitis B

Essential facts and insights about Chronic Hepatitis B in Non-Immune Patients

The ICD-10 code for chronic hepatitis B without delta-agent is B18.1.

Primary ICD-10-CM Code for non immune hepatitis brother

Chronic viral hepatitis B without delta-agent
Billable Code

Decision Criteria

clinical Criteria

  • Chronic hepatitis B confirmed by lab tests.

documentation Criteria

  • Documentation must specify chronicity and absence of delta-agent.

Applicable To

  • Chronic hepatitis B without delta-agent

Excludes

  • Acute hepatitis B (B16.-)
  • Chronic hepatitis B with delta-agent (B18.0)

Clinical Validation Requirements

  • HBsAg positive x2 tests ≥6 months apart
  • HBV DNA positive

Code-Specific Risks

  • Incorrectly coding as unspecified when chronicity is documented.

Coding Notes

  • Ensure documentation specifies chronicity and absence of delta-agent.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Carrier of viral hepatitis B

Z22.51
Use for asymptomatic carriers of hepatitis B.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Chronic viral hepatitis B with delta-agent

B18.0
Presence of delta-agent (HDV RNA positive).

Unspecified viral hepatitis B without hepatic coma

B19.10
Use when documentation does not specify acute or chronic.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Chronic Hepatitis B in Non-Immune Patients to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B18.1.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.

Mitigation Strategy

Ensure lab results are included in the patient's record., Regularly review documentation for completeness.

Impact

Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of audit triggers., Data Quality: Decreases accuracy of health records.

Mitigation Strategy

Query provider for clarification if documentation is ambiguous.

Impact

Using B19.10 when chronicity is documented.

Mitigation Strategy

Ensure documentation specifies chronicity and absence of delta-agent.

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 Chronic Hepatitis B in Non-Immune Patients, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Chronic Hepatitis B in Non-Immune Patients

Use these documentation templates to ensure complete and accurate documentation for Chronic Hepatitis B in Non-Immune Patients. These templates include all required elements for proper coding and billing.

Chronic Hepatitis B Management

Specialty: Gastroenterology

Required Elements

  • Patient history of hepatitis B
  • Lab results confirming chronic status
  • Current symptoms and treatment plan

Example Documentation

Patient is a 55-year-old male with chronic hepatitis B (HBsAg+ since 2022, HDV RNA- 1/2024). Reports fatigue, no jaundice. ALT 148 U/L, HBV DNA 15,000 IU/mL. Plan: Monitor HBV DNA q6mo, consider tenofovir if DNA >20,000 IU/mL.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hepatitis B managed with antivirals.
Good Documentation Example
Chronic hepatitis B (HBsAg+ since 1/2024, HDV RNA-) with elevated ALT (125 U/L), prescribed entecavir.
Explanation
The good example specifies chronicity, lab results, and treatment details.

Need help with ICD-10 coding for Chronic Hepatitis B in Non-Immune Patients? Ask your questions below.

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