Infectious mononucleosis
ICD-10 B27.1 is a billable code used to indicate a diagnosis of infectious mononucleosis.
Infectious mononucleosis, commonly known as mono, is primarily caused by the Epstein-Barr virus (EBV), a member of the herpes virus family. This viral infection is characterized by fever, sore throat, swollen lymph nodes, and fatigue. The disease is most prevalent among adolescents and young adults, although it can occur at any age. Diagnosis is typically made through clinical evaluation and serological tests, including heterophile antibody tests (such as the Monospot test) and specific EBV antibody tests. The condition is usually self-limiting, with symptoms resolving within a few weeks to months. However, complications can arise, including splenic rupture and secondary infections. Antiviral treatments are generally not indicated for infectious mononucleosis, as the condition is primarily managed with supportive care, including hydration, rest, and analgesics for pain relief. In severe cases, corticosteroids may be prescribed to reduce inflammation.
Detailed history of symptoms, physical examination findings, and results of diagnostic tests.
Patients presenting with fatigue, sore throat, and lymphadenopathy.
Ensure documentation reflects the clinical decision-making process and any differential diagnoses considered.
Comprehensive evaluation of serological tests and management plans.
Patients with recurrent symptoms or complications from infectious mononucleosis.
Document any additional infectious workup or treatment plans, especially if complications arise.
Used to evaluate lymphocyte counts in suspected infectious mononucleosis.
Document the reason for the CBC and any abnormal findings.
Primary care providers should ensure that the CBC results are linked to the diagnosis of infectious mononucleosis.
Common symptoms include fever, sore throat, swollen lymph nodes, fatigue, and sometimes rash. Symptoms can vary in severity and duration.
Diagnosis is typically made through clinical evaluation and serological tests, including the Monospot test and specific EBV antibody tests.
Treatment is primarily supportive, focusing on rest, hydration, and pain relief. Antiviral medications are not typically indicated.
