Gastroenterology Coding Alert

Reader Question:

Base Hepatitis Screening Diagnosis Codes on Type of Risk Factors

Question: Can you let me know what the correct ICD-9 code for hepatitis screening testing is? I am looking at V73.89 but I am not sure whether this is correct or not?

Cincinnati Subscriber

Answer: If the screening is for a patient with no increased risk factors or medical complications such as pregnancy, you should use V73.89 (Special screening for other specified viral diseases). When you begin using ICD-10 codes, you should look at Z11.59 (Encounter for screening for other viral diseases) instead of V73.89.

If the patient reports increased risk factors, such as past or present injection drug use, you should list V73.89 as the primary code and additionally report V69.8 (Other problems related to lifestyle) as the secondary diagnosis. Look towards Z72.89 (Other problems related to lifestyle) instead of V69.8 when you begin using ICD-10 codes after Oct.1, 2014.