Chronic Hepatitis B ICD-10-CM Codes

Read this short guide to learn about Chronic Hepatitis B ICD codes you can use.

By Telita Montales on Feb 29, 2024.

Fact Checked by Nate Lacson.

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Chronic Hepatitis B ICD-10-CM Codes

What Chronic Hepatitis B ICD codes can I use?

If you’re looking for Chronic Hepatitis B ICD codes to use, there are only four that you can pick from:

  1. B18.0 - Chronic viral hepatitis B with delta-agent

This ICD code is meant to be used on a patient confirmed to have Chronic Hepatitis B, and it’s accompanied by a delta agent (commonly referred to as Hepatitis D).

  1. B18.1 - Chronic viral hepatitis B without delta-agent

This is the same as Item 1, but this time, the Chronic Hepatitis B isn’t accompanied by a delta-agent.

  1. B19.10 - Unspecified viral hepatitis B without hepatic coma

This ICD code is meant to be used on a patient confirmed to have Hepatitis B. However, the specific type (acute or chronic) isn’t specified. It isn’t accompanied by a hepatic coma, though. Since no ICD codes mention Chronic Viral Hepatitis B without/with hepatic coma, you may use this for such cases instead.

  1. B19.11 - Unspecified viral hepatitis B with hepatic coma

This is the same as Item 3, but this time, Hepatitis B resulted in a hepatic coma.

Are these Chronic Hepatitis B ICD codes billable?

Yes. All four of these Chronic Hepatitis B-related ICD-10 codes are valid and billable.

Clinical information about Chronic Hepatitis B:

Hepatitis B is a kind of liver viral infection, and it’s also the most common one. This infection causes the liver to become inflamed.

Hepatitis B has two types: acute and chronic. If a patient suddenly develops Hepatitis B but loses it after a while, healthcare professionals refer to that as Acute Hepatitis B. If it sticks around for too long (at least six months), even if the symptoms are minor, it’s referred to as Chronic Hepatitis B.

Whether it’s acute or chronic, Hepatitis B should be considered an emergency and addressed as soon as possible because it can lead to unwanted complications such as death. What may begin as an inflammation can give rise to the following:

  • Hepatitis D, which amplifies the stress the liver is dealing with;
  • Cirrhosis, which replaces the liver’s healthy tissue with scar tissue;
  • Liver failure, which both Hepatitis D and Cirrhosis can lead to;
  • Liver cancer.

Synonyms include:

  • Chronic type B viral hepatitis
  • Chronic viral hepatitis B with hepatitis D
  • Hepatic coma due to chronic hepatitis B
  • Hepatic coma due to chronic hepatitis B with delta agent
  • Hepatic coma due to viral hepatitis B
  • Chronic active viral hepatitis
  • Chronic aggressive type B viral hepatitis
  • Chronic aggressive viral hepatitis
  • Chronic persistent type B viral hepatitis
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Commonly asked questions

What are the symptoms of (Chronic) Hepatitis B?

Symptoms include feeling weak and exhausted, pain in the abdomen, pain in the joints, jaundice, fever, nausea, loss of appetite, dark urine, light-colored poop, and swelling (possibly with fluid) in certain body parts like the arms, legs, and belly. If Hepatitis B and these symptoms persist for over six months, it’s chronic.

What is a hepatic coma?

A hepatic coma is a deadly complication that can arise due to Hepatitis B. If left unchecked, Hepatitis B can result in hepatic encephalopathy, a complication characterized by the gradual decline of brain function due to severe and prolonged liver disease. The brain slowly gets damaged due to the presence of toxins that a diseased liver has trouble removing. It’s possible that the encephalopathy can ultimately make the patient unresponsive and leave them in a coma.

Are there any ways to prevent Hepatitis B from afflicting patients?

Yes. There are vaccines for Hepatitis B, which should lessen the chances of getting Hepatitis B. If you have patients with a family history of Hepatitis B, it’s best to recommend that they take a vaccine for it.

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