Learn about Gilbert's Syndrome diagnosis, including ICD-10 code R17 and related SNOMED CT codes. Find information on bilirubin levels, hyperbilirubinemia, and the UGT1A1 gene variant. Explore clinical documentation best practices for Gilbert Syndrome diagnosis and management, along with differential diagnosis considerations. Understand the genetic basis and typically benign nature of this inherited liver condition. Access resources for healthcare professionals, including diagnostic criteria and patient education materials related to Gilbert Syndrome.
Also known as
Disorders of bilirubin metabolism
Gilbert's syndrome is a mild liver condition causing elevated bilirubin levels.
Diseases of liver
This range includes various liver conditions, though Gilbert's is specifically E80.0.
Jaundice
Gilbert's can sometimes cause mild jaundice due to increased bilirubin.
When to use each related code
Description |
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Mild unconjugated hyperbilirubinemia |
Severe unconjugated hyperbilirubinemia |
Dubin-Johnson Syndrome |
Patient presents with intermittent episodes of mild jaundice, often triggered by stressors such as fasting, illness, or strenuous exercise. The patient denies abdominal pain, pruritus, or changes in stool color. Physical examination reveals mild scleral icterus. Laboratory findings demonstrate an elevated unconjugated bilirubin level, with normal conjugated bilirubin, liver enzymes (AST, ALT, ALP), and complete blood count (CBC). These findings are consistent with the diagnostic criteria for Gilbert's Syndrome. Given the patient's history and laboratory results, a diagnosis of Gilbert's Syndrome (ICD-10-CM code E80.4) is established. No specific treatment is indicated for Gilbert's Syndrome, as it is a benign condition. Patient education regarding the nature of the syndrome, its hereditary component, and the typically harmless fluctuations in bilirubin levels was provided. Reassurance was given regarding the excellent prognosis and lack of long-term complications. Follow-up is not routinely required, but the patient is encouraged to return if new or concerning symptoms develop. Differential diagnoses considered included hemolytic anemia, hepatitis, and other inherited hyperbilirubinemias, which were ruled out based on the normal CBC and liver enzyme panel. This diagnosis is supported by the established medical understanding of Gilbert syndrome as a mild, inherited disorder of bilirubin metabolism, characterized by unconjugated hyperbilirubinemia. The patient's understanding of the condition and lack of significant concerns were documented. Medical coding for this encounter will include E80.4 reflecting the diagnosis of Gilbert's Syndrome. The patient was advised on lifestyle modifications, including maintaining adequate hydration and nutrition, to potentially mitigate symptom exacerbations.