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Clinical Definition

Chronic viral hepatitis C is a persistent viral infection of the liver caused by the hepatitis C virus (HCV) that continues for more than 6 months. It can lead to progressive liver damage, cirrhosis, and potentially hepatocellular carcinoma.

Documentation Requirements

• Duration (must be documented as "chronic" or >6 months)

• Viral type must be specified as hepatitis C

• Current status:

  • With or without hepatic coma

  • Active vs. carrier state

• Disease progression markers:

  • Presence/absence of cirrhosis

  • Fibrosis stage if known

  • Viral load results if available

• Treatment status:

  • Current antiviral therapy if applicable

  • Response to treatment

Common Synonyms

• Hep C

• HCV infection

• Non-A, Non-B hepatitis (historical term)

• Yellow jaundice (patient term)

Coding Conflicts

Excludes1:

• Acute hepatitis C (B17.10)

• Hepatitis C with HIV disease (B20)

• Carrier of viral hepatitis C (Z22.52)

Scribing.io Automation

Our AI scribe automatically:

• Identifies key terms like "chronic," "hepatitis C," and "HCV"

• Captures viral load numbers from lab results

• Tags treatment medications specific to HCV

• Flags documentation gaps like missing chronicity

• Links related comorbidities like cirrhosis or HIV status

• Suggests additional specificity when documentation is insufficient for optimal coding