Infectious mononucleosis, unspecified with other complication
ICD-10 B27.99 is a billable code used to indicate a diagnosis of infectious mononucleosis, unspecified with other complication.
Infectious mononucleosis, commonly caused by the Epstein-Barr virus (EBV), is characterized by fever, sore throat, lymphadenopathy, and fatigue. The condition is often diagnosed in adolescents and young adults. The unspecified nature of this code indicates that the specific viral etiology is not documented, and it may encompass cases where complications arise, such as splenic rupture, hepatitis, or secondary infections. Diagnostic methods include serological tests for heterophile antibodies (Monospot test), EBV-specific antibodies, and complete blood count (CBC) to assess lymphocyte levels. Treatment is primarily supportive, focusing on hydration, rest, and analgesics for symptom relief. In severe cases, corticosteroids may be indicated to reduce inflammation. Understanding the nuances of this condition is crucial for accurate coding, especially when complications are present, as they can significantly impact patient management and billing.
Detailed patient history, physical examination findings, and results of diagnostic tests.
Patients presenting with fatigue, sore throat, and lymphadenopathy.
Ensure that all complications are documented to support the use of B27.99.
Comprehensive lab results, including serological tests and any imaging studies.
Patients with severe symptoms or complications such as splenic rupture.
Documentation must clearly differentiate between EBV and other viral infections.
When serological testing is performed to confirm EBV infection.
Document the reason for the test and the results.
Infectious disease specialists should ensure comprehensive lab results are included.
Common complications include splenic rupture, hepatitis, and secondary infections such as streptococcal pharyngitis. These complications can significantly impact patient management and should be documented thoroughly.
