Prevalence of HDV Infection in the U.S. – An ICD-10 Analysis

Prevalence of HDV Infection in the U.S. – An ICD-10 Analysis

The ICD-10 analysis presented during

the

2017

Disease

Week

number

of

Digestive

shows

Hepatitis

the Delta

virus (HDV) infection in the U.S. to be increasing.

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Hepatitis

delta

is

a

viral

infection

that

causes

the

liver

to

become

inflamed.According to the Centers for Disease Control and Prevention, 4.4 million Americans have chronic hepatitis, and 80,000 new infections occur each year. The most aggressive form of viral hepatitis, this infection is contagious and can be transmitted through urine, vaginal fluids, semen, blood or by birth (from mother to her newborn). Clinical documentation and medical coding forhepatitis infectionalso requires clear knowledge about the condition.Accurate documentation can be ensured with the support of a medical coding service provider.

During the 2017 Digestive Disease Week, held in Chicago, Illinois, May 6-9, an International Classification of Diseases (ICD) analysis on the increasing Hepatitis Delta virus (HDV) infection in the United States was presented by Eiger BioPharmaceuticals. As per the analysis, the number of people newly diagnosed with Hepatitis Delta virus (HDV) infection in the United States is increasing.Though the ICD-10 analysis represents a 30% increase in HDV testing in 2016 versus 2012, only few patients are tested for HDV infection. For the same reason, this data supports the need for increasing awareness and diagnosis of hepatitis delta infection.

Key highlights of this US-specific assessment of ICD medical claims are •

More than 11.8% of patients with chronic HBV may be co-infected with HDV.

•

Only 4.7% of chronic HBV patients are tested for HDV co-infection.

•

HDV testing is readily available through commercial laboratories in the US.

Hepatitis Delta virus (HDV) infection can only develop in people who are already infected with hepatitis B. Though there is no effective antiviral treatment for hepatitis D, infection can be prevented by hepatitis B immunization. The true prevalence of this disease in the US is likely underestimated due to low testing rates.

Symptoms for hepatitis infection may include:jaundice, joint pain, abdominal pain, vomiting, loss of appetite, dark urine and fatigue. If the infection lasts for six months or longer, the condition is known as chronic hepatitis D.

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Documenting Viral Hepatitis with ICD-10 Viral hepatitis is a group of viral infections that affect the liver. The most common types are hepatitis A, B, and C. Some of the important ICD-10 codes that are used to document viral hepatitis are: ➢ B15 Acute hepatitis A ➢ B15.0 Hepatitis A with hepatic coma ➢ B15.9 Hepatitis A without hepatic coma ➢ B16 acute hepatitis B ➢ B16.0 Acute hepatitis B with delta-agent with hepatic coma ➢ B16.1 Acute hepatitis B with delta-agent without hepatic coma ➢ B16.2 Acute hepatitis B without delta-agent with hepatic coma ➢ B16.9 Acute hepatitis B without delta-agent and without hepatic coma ➢ B17.0 Acute delta-(super)infection of hepatitis B carrier ➢ B17.10 Acute hepatitis C without hepatic coma ➢ B17.11 Acute hepatitis C with hepatic coma ➢ B17.2 Acute hepatitis ➢ B17.8 Other specified acute viral hepatitis ➢ B18.0 Chronic viral hepatitis B with delta-agent ➢ B18.1 Chronic viral hepatitis B without delta-agent ➢ B18.2 Chronic viral hepatitis C Codes that describe the diagnosis 'carrier of viral hepatitis' include•

Z22.50 Carrier of unspecified viral hepatitis

•

Z22.51 Carrier of viral hepatitis B

•

Z22.52 Carrier of viral hepatitis C

•

Z22.59 Carrier of other viral hepatitis

To meet the physician’s medical coding and billing requirements, professional medical billing companies stay up-to-date with the latest changes in CPT, ICD10 and HCPCS codes.

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