Patient presents with a diagnosis of Hepatitis C Virus (HCV) related cirrhosis of the liver.  The patient's medical history is significant for chronic Hepatitis C infection, confirmed by positive HCV RNA PCR testing.  Clinical findings suggestive of decompensated liver disease include ascites, documented by physical exam and abdominal ultrasound, and esophageal varices, visualized on upper endoscopy.  Laboratory results demonstrate elevated liver enzymes (AST, ALT), prolonged prothrombin time (PT), decreased albumin, and thrombocytopenia.  Imaging studies, including abdominal ultrasound and transient elastography, are consistent with cirrhosis.  The patient reports symptoms of fatigue, jaundice, and abdominal distension.  Based on these findings, the diagnosis of Hepatitis C cirrhosis is established.  Treatment plan includes regular monitoring for complications of cirrhosis, such as hepatic encephalopathy and variceal bleeding, along with referral to hepatology for consideration of antiviral therapy and liver transplantation evaluation.  Patient education regarding lifestyle modifications, including dietary sodium restriction and alcohol abstinence, has been provided.  ICD-10-CM code K74.60, Cirrhosis of liver without ascites or portal hypertension, or K74.61, Cirrhosis of liver with ascites,  and B18.2, Chronic viral hepatitis C, are appropriate, depending on the presence or absence of ascites. Medical billing will reflect evaluation and management services, along with diagnostic testing performed.  Continued surveillance for hepatocellular carcinoma will be implemented per established guidelines.