Impact Of Screening For Hepatitis C In ICD-10 Coding

What is Screening for Hepatitis C ICD-10?

Screening for Hepatitis C ICD-10 refers to the process of using specific diagnostic codes to identify and test individuals who may be at risk for Hepatitis C infection. In the medical field, diagnostic codes are used to classify diseases, symptoms, and medical procedures for billing and statistical purposes.

Code Information

The ICD-10 code for screening for Hepatitis C is Z11.3. This code is used when a healthcare provider orders a test to screen for Hepatitis C in a patient who may be at risk for the infection due to factors such as past intravenous drug use, history of blood transfusions, or exposure to infected blood.

Diagnostic Related Groups (MS-DRG)


Screening for Hepatitis C ICD-10 falls under the Diagnostic Related Group (MS-DRG) 847 – Chemotherapy without Acute Leukemia as Secondary Diagnosis. This DRG categorizes patients who undergo screening or testing for infectious diseases such as Hepatitis C.

Convert to ICD-9 Code

In the previous coding system, ICD-9, the equivalent code for screening for Hepatitis C is V73.89. Healthcare providers may still encounter this code in older medical records or billing systems.

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 screening for Hepatitis C was implemented in October 2015 as part of the International Classification of Diseases, 10th Revision. This update aimed to provide more specific and detailed codes for various medical conditions, including screening tests for infectious diseases.

Approximate Synonyms

Other terms that may be used interchangeably with screening for Hepatitis C include Hepatitis C testing, Hepatitis C screening test, and screening for HCV (Hepatitis C Virus).

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 can cause liver inflammation, leading to serious health complications if left untreated. Screening for Hepatitis C is essential for early detection and intervention to prevent the progression of the disease.


Hepatitis C is primarily spread through contact with infected blood, such as sharing needles or receiving blood transfusions from infected donors. Other risk factors include unprotected sex with an infected partner and mother-to-child transmission during childbirth.


Many people with Hepatitis C do not experience any symptoms initially, which is why screening tests are crucial for early diagnosis. However, some individuals may develop symptoms such as fatigue, nausea, abdominal pain, and jaundice (yellowing of the skin and eyes).


Screening for Hepatitis C involves a blood test to detect the presence of HCV antibodies or the virus itself. If the initial screening test is positive, further diagnostic tests may be performed to confirm the diagnosis and assess the extent of liver damage.


Treatment for Hepatitis C typically involves antiviral medications to reduce viral replication and prevent liver damage. In some cases, a combination of medications may be prescribed, along with lifestyle changes and regular monitoring of liver function.


Screening for Hepatitis C using the ICD-10 code Z11.3 is crucial for identifying individuals at risk for this viral infection and providing timely interventions to prevent complications. Early detection through screening tests can lead to effective treatment and improved outcomes for patients.


1. Who should undergo screening for Hepatitis C?

Individuals with a history of intravenous drug use
Patients who received blood transfusions before 1992
Individuals with high-risk sexual behaviors

2. Are there any recommendations for Hepatitis C screening?

The CDC recommends one-time screening for all adults aged 18-79 years
Pregnant women should be screened during each pregnancy

3. What are the potential complications of untreated Hepatitis C?

Liver cirrhosis
Hepatocellular carcinoma (liver cancer)
Liver failure

4. How is Hepatitis C treatment monitored?

Regular liver function tests
Monitoring viral load levels
Imaging studies to assess liver damage

5. Is Hep

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