Hepatitis C A011
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/h-l/hepatitis-c-a011-b171b182
Rulebase for hepatitis C
<h5><strong>Current RMA Instruments</strong></h5><div class="table-responsive"><table class="table" border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2018/013.pdf" target="_blank"><u><font color="#0066cc">Reasonable Hypothesis SOP</font></u></a></address></td><td>13 of 2018</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2018/014.pdf" target="_blank"><u><font color="#0066cc">Balance of Probabilities SOP </font></u></a></address></td><td>14 of 2018</td></tr></tbody></table></div><h5><strong>Changes from previous Instruments</strong></h5><p><drupal-media data-entity-type="media" data-entity-uuid="dc2081b1-1ad8-4771-8d55-23973c922b02" data-view-mode="wysiwyg"></drupal-media></p><h5><strong>ICD Coding:</strong></h5><ul><li>ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54</li><li>ICD-10-AM Codes: B17.1, B18.2</li></ul><h5>Brief description</h5><p>Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.</p><h5>Confirming the diagnosis</h5><p>Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).</p><p><strong>Additional diagnoses covered by SOP</strong></p><ul><li>Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C</li></ul><h5><strong>Conditions not covered by SOP</strong></h5><ul><li>Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)</li><li>Hepatitis A*</li><li>Hepatitis B*</li><li>Hepatitis D*</li><li>Hepatitis E*</li></ul><p>* Another SOP applies</p><h5>Clinical onset</h5><p>For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.</p><h5>Clinical worsening</h5><p>Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.</p><p> </p><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c
An injection with an unsterilised needle
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/injection-unsterilised-needle
Blood transfusion
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/blood-transfusion
Contamination of a wound by the bodily fluids of another person
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/contamination-wound-bodily-fluids-another-person
Dental procedure with unsterilised instruments
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/dental-procedure-unsterilised-instruments
Inability to obtain appropriate clinical management for hepatitis C
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/inability-obtain-appropriate-clinical-management-hepatitis-c
Injection of blood products
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/injection-blood-products
Organ transplant
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/organ-transplant
Parenteral drug use
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/parenteral-drug-use
Surgical procedure with unsterilised instruments
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/surgical-procedure-unsterilised-instruments
Unprotected sexual intercourse
Current RMA Instruments
| Reasonable Hypothesis SOP | 13 of 2018 |
| Balance of Probabilities SOP | 14 of 2018 |
Changes from previous Instruments
ICD Coding:
- ICD-9-CM Codes: 070.41, 070.44, 070.51, 070.54
- ICD-10-AM Codes: B17.1, B18.2
Brief description
Hepatitis C is a viral infection of the liver. The SOP covers acute, symptomatic hepatitis C infection, and chronic infection. Acute infection is asymptomatic in around 85% of cases. Acute infection resolves in about 25% of cases, with the rest going on to develop chronic hepatitis C.
Confirming the diagnosis
Diagnosis of acute hepatitis C requires the presence of an appropriate, symptomatic, clinical illness and confirmation by laboratory testing for serology or nucleic acid markers (HCV RNA). Diagnosis of chronic hepatitis C requires evidence of infection of at least 6 months duration, confirmed by laboratory testing for nucleic acid markers (HCV RNA).
Additional diagnoses covered by SOP
- Non-A non-B hepatitis, an obsolete term – a pre-1990s diagnosis of non-A non-B hepatitis was very probably Hepatitis C
Conditions not covered by SOP
- Asymptomatic acute hepatitis C infection - not a disease or injury unless develops into chronic hepatitis C infection (> 6 months duration)
- Hepatitis A*
- Hepatitis B*
- Hepatitis D*
- Hepatitis E*
* Another SOP applies
Clinical onset
For acute symptomatic HCV infection, clinical onset will be when the symptoms of the clinical illness, subsequently confirmed to be acute HCV infection, first manifest. For chronic HCV infection (in the absence of acute clinical infection) clinical onset will be when infection with HCV was first detected on laboratory testing.
Clinical worsening
Worsening of HCV infection will mainly be a consderation in cases of chronic infection. Chronic HCV infection typically has followed a progressive course over many years, ultimately resulting in cirrhosis, hepatocellular carcinoma, and the need for liver transplantation. Modern therapy with antiviral agents can now effectively cure chronic HCV infection in almost all patients.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hepatitis-c-a011-b171b182/rulebase-hepatitis-c/unprotected-sexual-intercourse