ICD-10 Code B19.21 | Unspecified viral hepatitis C with hepatic coma Symptoms, Diagnosis, Billing

Unspecified viral hepatitis C with hepatic coma is a severe liver condition caused by the hepatitis C virus, leading to liver inflammation and potential hepatic failure. This condition is clinically significant due to its association with high morbidity and mortality rates. Accurate coding with ICD-10 Code B19.21 ensures proper diagnosis, documentation, medical billing, and aids in public health reporting, facilitating appropriate patient management and resource allocation.

What is ICD-10 Code B19.21 for Unspecified viral hepatitis C with hepatic coma?

ICD-10 Code B19.21 represents Unspecified viral hepatitis C with hepatic coma, indicating a critical state of liver dysfunction due to hepatitis C infection. This code is used when a patient presents with hepatic coma as a complication of viral hepatitis C, ensuring accurate clinical documentation and appropriate billing for healthcare services rendered.

ICD-10 Code B19.21 – Clinical Definition and Explanation of Unspecified viral hepatitis C with hepatic coma

Unspecified viral hepatitis C with hepatic coma is characterized by severe liver impairment resulting from hepatitis C virus infection. The condition can progress rapidly, necessitating immediate medical intervention to prevent life-threatening complications. Early recognition and treatment are crucial for improving patient outcomes.

Key Clinical Features:

• Altered mental status due to hepatic encephalopathy.
• Jaundice and coagulopathy indicating liver failure.
• Ascites and edema as signs of portal hypertension.
• Potential for multi-organ failure in advanced cases.

ICD-10 Code B19.21 for Unspecified viral hepatitis C with hepatic coma – SOAP Notes & Clinical Use

ICD-10 Code B19.21 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to hepatic coma due to viral hepatitis C. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code B19.21 for Unspecified viral hepatitis C with hepatic coma Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B19.21 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of hepatic coma. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B19.21 – Unspecified viral hepatitis C with hepatic coma

Unspecified viral hepatitis C with hepatic coma requires urgent medical attention and often hospitalization for management. Treatment focuses on addressing the underlying viral infection and supporting liver function.

Antibiotic Therapy:

• Not applicable as hepatitis C is viral; no antibiotics are indicated.

Supportive Care:

• Nutritional support and management of hepatic encephalopathy.
• Fluid management to address ascites and edema.
• Monitoring and correction of coagulopathy.

Infection Control:

• Standard precautions to prevent transmission of hepatitis C.
• Education on safe practices to avoid spread in healthcare settings.

How to Document Symptoms of Unspecified viral hepatitis C with hepatic coma (ICD-10 B19.21) in SOAP Notes

Subjective:

• Patient reports confusion and disorientation.
• History of jaundice and fatigue over the past week.
• Complaints of abdominal swelling and discomfort.
• Previous diagnosis of hepatitis C without treatment.

Objective:

• Altered mental status observed during examination.
• Vital signs: BP 90/60 mmHg, HR 120 bpm, Temp 98.6°F.
• Physical exam reveals jaundice and ascites.
• Laboratory tests show elevated liver enzymes and INR.

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SOAP Note Guidelines for Diagnosing Unspecified viral hepatitis C with hepatic coma (ICD-10 Code B19.21)

Assessment:

• Diagnosis: Unspecified viral hepatitis C with hepatic coma, severe.
• ICD-10 Code: B19.21.
• Contributing factors: Chronic hepatitis C infection, potential alcohol use.
• Severity: Critical due to altered mental status and liver failure.

Plan:

• Initiate supportive care and monitor liver function closely.
• Consider antiviral therapy if indicated and liver function permits.
• Educate patient on the importance of follow-up and lifestyle modifications.
• Schedule follow-up in 1 week or sooner if symptoms worsen.

Treatment & Plan Section for ICD-10 Code B19.21 – Unspecified viral hepatitis C with hepatic coma

• Supportive care including IV fluids and electrolyte management.
• Nutritional support tailored to liver function status.
• Monitoring for complications such as bleeding and infection.
• Regular follow-up to assess liver function and treatment response.

Using ICD-10 Code B19.21 for Unspecified viral hepatitis C with hepatic coma in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use B19.21 in settings where hepatic coma is diagnosed or treated.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes that correspond to services provided.

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

• B19.20 – Unspecified viral hepatitis C without hepatic coma

ICD-10 Code B19.21 in Medical Billing and Insurance for Unspecified viral hepatitis C with hepatic coma

ICD-10 Code B19.21 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and treatment details to support the claim.
• Use B19.21 in acute care settings where hepatic coma is diagnosed.
• Ensure compliance with payer requirements for documentation.
• Include patient history and treatment rationale in the medical record.

Common CPT Pairings: