Diagnosing Hepatitis C: Understanding ICD-10 Codes For Screening

What is screening for Hep C ICD-10?

Screening for Hepatitis C (Hep C) using the International Classification of Diseases, Tenth Revision (ICD-10) codes involves the process of identifying individuals who may be at risk for the infection and testing them to determine if they have the virus. Hepatitis C is a viral infection that affects the liver and can lead to serious health complications if left untreated.

Code Information

The ICD-10 code for screening for Hep C is Z11.3. This code is used to indicate that the patient is undergoing screening for the virus and does not necessarily mean that they have been diagnosed with Hep C.

Diagnostic Related Groups (MS-DRG)


Screening for Hep C falls under MS-DRG 010 which covers tests and procedures related to infectious and parasitic diseases. This DRG helps healthcare providers classify and bill for services related to Hep C screening.

Convert to ICD-9 Code

The ICD-9 code equivalent to Z11.3 for Hep C screening is V73.89. This code was used in the previous version of the ICD system before the transition to ICD-10.

Code History

Screening at a Federally Qualified Health Center in the Midwest
Screening at a Federally Qualified Health Center in the Midwest

The ICD-10 code Z11.3 for Hep C screening was implemented in October 2015 as part of the update to the ICD system. This new code provided more specific and detailed information for healthcare providers to accurately document and track Hep C screenings.

Approximate Synonyms

Some approximate synonyms for Hep C screening include Hepatitis C screening, HCV screening, and Hep C testing.

Clinical Information

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

Hepatitis C is a bloodborne virus that can cause both acute and chronic infections. The virus is primarily spread through contact with infected blood, such as sharing needles or receiving blood transfusions from infected donors. Many individuals with Hep C may not show any symptoms for years, which is why screening is crucial for early detection and treatment.


The primary cause of Hepatitis C is the Hepatitis C virus (HCV). The virus is transmitted through contact with infected blood, such as sharing needles or receiving tainted blood transfusions. Other risk factors for Hep C include having unprotected sex with an infected partner, sharing personal hygiene items like razors or toothbrushes, and receiving tattoos or piercings with contaminated equipment.


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

Many people with Hepatitis C may not experience any symptoms for years or even decades after being infected. When symptoms do occur, they can range from mild to severe and may include fatigue, nausea, abdominal pain, loss of appetite, and jaundice (yellowing of the skin and eyes).


Diagnosing Hepatitis C involves blood tests to detect the presence of the virus in the bloodstream. These tests can determine if a person has been exposed to the virus and if they have an active infection. If Hep C is suspected, further testing may be done to assess the extent of liver damage and determine the best course of treatment.


Treatment for Hepatitis C typically involves antiviral medications that can help clear the virus from the body and reduce the risk of liver damage. In some cases, a combination of medications may be used to treat Hep C effectively. It is important for individuals with Hepatitis C to work closely with their healthcare provider to develop a treatment plan that is tailored to their specific needs.


In conclusion, screening for Hep C using ICD-10 codes is an essential part of early detection and treatment for this potentially serious viral infection. By identifying individuals who may be at risk for Hepatitis C and testing them for the virus, healthcare providers can help prevent the spread of the infection and improve patient outcomes.

FAQs (Frequently Asked Questions)

1. Who should be screened for Hep C?

Screening for Hepatitis C is recommended for individuals who are at increased risk for the infection, such as those who have a history of injection drug use, received blood transfusions before 1992, or have been exposed to contaminated needles or equipment.

2. How often should Hep C screening be done?

The frequency of Hepatitis C screening depends on individual risk factors and healthcare provider recommendations. In general, high-risk individuals may be screened more frequently, while others may only need to be

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