Infectious mononucleosis
ICD-10 B27.0 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 herpesvirus 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 affect individuals of any age. The transmission of EBV occurs through saliva, which is why it is often referred to as the 'kissing disease.' Diagnosis typically involves clinical evaluation and laboratory tests, including heterophile antibody tests (such as the Monospot test) and specific EBV serologies to confirm the presence of the virus. While most cases are self-limiting, symptomatic treatment is often required, including hydration, analgesics, and rest. In severe cases, corticosteroids may be prescribed to reduce inflammation. Understanding the clinical presentation and diagnostic criteria is crucial for accurate coding and management of the condition.
Detailed patient history, physical examination findings, and results of laboratory 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 the patient's history, including exposure risks and serological testing results.
Patients with atypical presentations or complications from infectious mononucleosis.
Document any additional diagnostic tests performed and their results to support coding.
When laboratory confirmation of EBV is required.
Document the reason for the test and the results.
Infectious disease specialists may order additional serological tests.
Common symptoms include fever, sore throat, swollen lymph nodes, and fatigue. Some patients may also experience headaches, rash, and abdominal pain.
Diagnosis is typically made through clinical evaluation and laboratory tests, including the Monospot test and specific EBV serologies.
Treatment is primarily supportive, focusing on hydration, rest, and pain relief. Corticosteroids may be used in severe cases.
