ICD-10 Code B19.11 | Unspecified viral hepatitis B with hepatic coma Symptoms, Diagnosis, Billing

Unspecified viral hepatitis B with hepatic coma is a severe liver condition caused by the hepatitis B virus, leading to liver failure and altered mental status. This condition is clinically significant due to its potential for rapid deterioration and high mortality rates. Accurate coding with ICD-10 Code B19.11 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code B19.11 for Unspecified viral hepatitis B with hepatic coma?

ICD-10 Code B19.11 represents Unspecified viral hepatitis B with hepatic coma, indicating a critical state of liver dysfunction due to hepatitis B infection. This code should be used when a patient presents with hepatic coma as a complication of viral hepatitis B, ensuring accurate clinical documentation and appropriate billing for healthcare services rendered.

ICD-10 Code B19.11 – Clinical Definition and Explanation of Unspecified viral hepatitis B with hepatic coma

Unspecified viral hepatitis B with hepatic coma is caused by the hepatitis B virus, leading to severe liver inflammation and dysfunction. The progression of the disease can result in hepatic coma, necessitating immediate medical intervention. This condition requires hospitalization and intensive care due to the risk of life-threatening complications.

Key Clinical Features:

• Altered mental status ranging from confusion to coma.
• Jaundice indicating liver dysfunction.
• Coagulopathy leading to increased bleeding risk.
• Ascites and edema due to portal hypertension.

ICD-10 Code B19.11 for Unspecified viral hepatitis B with hepatic coma – SOAP Notes & Clinical Use

ICD-10 Code B19.11 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, facilitating comprehensive documentation of the patient's condition and guiding clinical decision-making.

What Does ICD-10 Code B19.11 for Unspecified viral hepatitis B with hepatic coma Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B19.11 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of hepatic coma due to viral hepatitis B. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B19.11 – Unspecified viral hepatitis B with hepatic coma

Unspecified viral hepatitis B with hepatic coma requires urgent medical treatment and hospitalization. Management focuses on supportive care and addressing complications.

Antibiotic Therapy:

• Not applicable as hepatitis B is viral; antibiotics are not indicated.

Supportive Care:

• Monitoring of liver function and mental status.
• Nutritional support and management of fluid balance.
• Use of lactulose to manage hepatic encephalopathy.

Infection Control:

• Standard precautions to prevent transmission of hepatitis B.
• Isolation if necessary to prevent spread in outbreak situations.

How to Document Symptoms of Unspecified viral hepatitis B with hepatic coma (ICD-10 B19.11) in SOAP Notes

Subjective:

• Patient reports confusion and disorientation.
• History of jaundice and abdominal swelling.
• Recent travel to endemic areas for hepatitis B.
• No known drug allergies reported.

Objective:

• Vital signs: BP 90/60 mmHg, HR 120 bpm, Temp 100.4°F.
• Physical exam reveals jaundice and asterixis.
• Laboratory results show elevated liver enzymes and bilirubin.
• Coagulation profile indicates prolonged PT and INR.

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SOAP Note Guidelines for Diagnosing Unspecified viral hepatitis B with hepatic coma (ICD-10 Code B19.11)

Assessment:

• Diagnosis: Unspecified viral hepatitis B with hepatic coma, severe.
• ICD-10 Code: B19.11.
• Contributing factors: Recent travel to endemic areas, possible exposure to infected individuals.
• Severity: Critical due to altered mental status and liver failure.

Plan:

• Initiate IV fluids and electrolyte management.
• Administer lactulose for hepatic encephalopathy.
• Consult gastroenterology for potential antiviral therapy.
• Monitor liver function tests and mental status closely.

Treatment & Plan Section for ICD-10 Code B19.11 – Unspecified viral hepatitis B with hepatic coma

• Administer IV fluids and monitor electrolytes.
• Provide lactulose to reduce ammonia levels.
• Consider antiviral therapy based on specialist recommendations.
• Regularly assess liver function and neurological status.

Using ICD-10 Code B19.11 for Unspecified viral hepatitis B with hepatic coma in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use the code in acute care settings for appropriate reimbursement.
• Document treatment plans that align with clinical guidelines.
• Include relevant history and risk factors in the patient's record.

Related ICD-10 Codes Often Used with Unspecified viral hepatitis B with hepatic coma

• B19.10 – Unspecified viral hepatitis B without hepatic coma

ICD-10 Code B19.11 in Medical Billing and Insurance for Unspecified viral hepatitis B with hepatic coma

ICD-10 Code B19.11 is critical for billing in hospital and emergency settings, particularly for infectious disease management.

Billing Notes:

• Document all clinical findings and treatment interventions clearly.
• Use this code in inpatient settings for accurate reimbursement.
• Ensure that the patient's history supports the diagnosis.
• Include any relevant lab results in the documentation.

Common CPT Pairings: