Impact Of ICD-10 Coding On Hepatitis C Screening Practices

What is ICD-10 for Hep C Screening?

ICD-10 is the 10th revision of the International Classification of Diseases, a medical classification list by the World Health Organization (WHO). ICD-10 codes are used to classify diseases and other health problems recorded on various health records, including death certificates and health insurance claims.

Code Information

The ICD-10 code for Hep C screening is Z11.3. This code is used to indicate that the patient is undergoing screening for Hepatitis C, whether it be as part of a routine check-up or due to specific risk factors.

Diagnostic Related Groups (MS-DRG)


MS-DRGs are a classification system used in the United States for inpatient hospital stays. The MS-DRG for Hep C screening falls under the Diagnostic Related Group 867 – Other infectious and parasitic diseases diagnoses with MCC (major complications or comorbidities) or CC (complications or comorbidities).

Convert to ICD-9 Code

In the previous version of the ICD coding system, ICD-9, the code for Hep C screening was V73.89 – Special screening for other specified viral diseases.

Code History

Coding Hepatitis B Screening: How to Ensure Reimbursement - AAPC
Coding Hepatitis B Screening: How to Ensure Reimbursement – AAPC

The ICD-10 code Z11.3 for Hep C screening was introduced in 2015 as part of the transition from ICD-9 to ICD-10 coding systems.

Approximate Synonyms

Other terms that may be used interchangeably with Hep C screening include Hepatitis C screening and HCV screening.

Clinical Information

Validity of ICD--CM Codes Used to Identify Patients with Chronic
Validity of ICD–CM Codes Used to Identify Patients with Chronic

Hepatitis C is a viral infection that causes liver inflammation, sometimes leading to serious liver damage. Hepatitis C is spread through contact with infected blood.


Hepatitis C is caused by the hepatitis C virus (HCV). The most common way the virus is spread is through sharing needles or other equipment to inject drugs. Hepatitis C can also be transmitted through sexual contact or from mother to baby during childbirth.


Many people with Hepatitis C do not have any symptoms and are unaware that they are infected. For those who do experience symptoms, they may include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, clay-colored bowel movements, joint pain, and jaundice.


Screening for Hepatitis C typically involves a blood test to detect the presence of HCV antibodies in the blood. If the antibody test is positive, further testing is done to determine if the virus is still present in the body.


Treatment for Hepatitis C may involve antiviral medications that help clear the virus from the body. The goal of treatment is to cure the infection, prevent liver damage, and reduce the risk of liver cancer and other complications.


In conclusion, proper screening and early detection of Hepatitis C are crucial in preventing the spread of the virus and reducing the risk of serious liver damage. The ICD-10 code Z11.3 for Hep C screening plays a key role in accurately coding and documenting these screening procedures.


1. How often should Hep C screening be done?

It is recommended that individuals at high risk for Hepatitis C, such as injection drug users, undergo screening at least once a year.

2. Is Hepatitis C curable?

Yes, Hepatitis C is curable with antiviral medications that can eradicate the virus from the body.

3. Are there any vaccines available for Hepatitis C?

Currently, there is no vaccine for Hepatitis C. The best way to prevent the virus is through safe injection practices and avoiding high-risk behaviors.

4. Can Hepatitis C be transmitted through casual contact?

No, Hepatitis C is primarily spread through contact with infected blood and is not easily transmitted through casual contact.

5. What should I do if my Hep C screening test is positive?

If your screening test is positive for Hepatitis C, it is important to follow up with a healthcare provider for further testing and treatment options.

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