Understanding The Codes: Navigating Hepatitis C Screening ICD-10

What is Screening Hep C ICD 10?

Screening Hep C ICD 10 refers to the diagnostic code used in the International Classification of Diseases, 10th Revision (ICD-10) for screening tests related to Hepatitis C. Hepatitis C is a viral infection that causes liver inflammation, sometimes leading to serious liver damage. Screening for Hepatitis C involves testing individuals for the presence of the Hepatitis C virus in their blood.

Code Information

The ICD-10 code for screening Hepatitis C is Z11.3. This code is used to indicate that the purpose of the encounter is for screening for the Hepatitis C virus, even if the patient does not have any symptoms or signs of the infection.

Diagnostic Related Groups (MS-DRG)

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

In the Medicare Severity-Diagnosis Related Group (MS-DRG) system, screening for Hepatitis C falls under DRG 867 – Other Infectious and Parasitic Diseases Diagnoses with MCC (Major Complications or Comorbidities) or CC (Complications or Comorbidities). This means that if a patient undergoes screening for Hepatitis C and is found to have a complication or comorbidity related to the infection, they will fall under this diagnostic group for billing and reimbursement purposes.

Convert to ICD-9 Code

In the previous version of the ICD coding system, ICD-9, the equivalent code for screening Hepatitis C is V73.89. This code is used to indicate screening for other specified viral diseases.

Code History

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

The ICD-10 code for screening Hepatitis C was introduced in 2015 as part of the transition from the ICD-9 to ICD-10 coding system. The addition of specific codes for screening tests helps to better track and monitor the prevalence of Hepatitis C infection in the population.

Approximate Synonyms

Some approximate synonyms for screening Hepatitis C ICD 10 include:

– Screening for Hepatitis C
– Testing for Hepatitis C virus
– Hep C screening

Clinical Information

Hepatitis C is a bloodborne virus that primarily affects the liver. It is spread through contact with infected blood, most commonly through sharing needles or other equipment used to inject drugs. Hepatitis C can also be transmitted through unprotected sex or from an infected mother to her baby during childbirth.


The primary cause of Hepatitis C infection is the Hepatitis C virus (HCV). The virus is typically spread through contact with infected blood. This can occur through sharing needles or other drug injection equipment, receiving a blood transfusion before 1992, or being born to a mother with Hepatitis C.


Many people with Hepatitis C do not experience any symptoms, especially in the early stages of the infection. When symptoms do occur, they can include fatigue, nausea, abdominal pain, jaundice (yellowing of the skin and eyes), and dark urine. Chronic Hepatitis C can lead to liver cirrhosis, liver cancer, and liver failure if left untreated.


Diagnosing Hepatitis C involves testing for the presence of the virus in the blood. This is typically done through a simple blood test that detects antibodies to the Hepatitis C virus. If the initial test is positive, further testing may be done to confirm the diagnosis and determine the extent of liver damage.


Treatment for Hepatitis C has improved significantly in recent years with the development of direct-acting antiviral medications. These medications can cure Hepatitis C in the majority of cases, with minimal side effects. Treatment may also involve lifestyle changes to support liver health, such as avoiding alcohol and maintaining a healthy diet and exercise routine.


Screening for Hepatitis C using the ICD-10 code Z11.3 is an important step in identifying and treating this potentially serious infection. Early detection and treatment can help prevent complications and improve outcomes for individuals with Hepatitis C.


1. Who should be screened for Hepatitis C?
2. What are the risk factors for Hepatitis C infection?
3. How often should screening for Hepatitis C be done?
4. Can Hepatitis C be cured?
5. What should I

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