Z30.011 - Encounter for initial prescription of contraceptive pills

Clinical Definition

A viral infection of the liver typically caused by the hepatitis C virus (HCV), which can present as either acute or chronic. This condition causes liver inflammation and can lead to serious liver damage over time.

Documentation Requirements

• Acuity Status:

  • Must specify if acute or chronic

  • Duration of infection if known

• Viral Agent:

  • Document confirmed HCV through lab testing

  • Include viral load if available

• Clinical Status:

  • Document liver function test results

  • Note presence/absence of cirrhosis

  • Document hepatic coma if present

• Treatment Status:

  • Current antiviral medications

  • Treatment response (naive, responsive, resistant)

Common Synonyms

• Hep C

• HCV infection

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

• Blood-borne hepatitis

Coding Conflicts

• Excludes1:

  • Cytomegaloviral hepatitis (B25.1)

  • Hepatitis A (B15.-)

  • Hepatitis B (B16.-)

• Excludes2:

  • Post-transfusion hepatitis NOS (B94.8)

  • Post-vaccination hepatitis (K75.89)

Scribing.io Automation

Our AI scribe automatically identifies and captures:

• Lab results indicating HCV positivity

• Viral load measurements

• Treatment regimens

• Specific terminology around chronicity

• Complications and comorbidities related to HCV

• Treatment response terms

When dictating, use clear phrases like "chronic hepatitis C" or "acute HCV infection" for optimal AI recognition.