Gammaherpesviral mononucleosis with other complications
ICD-10 B27.09 is a billable code used to indicate a diagnosis of gammaherpesviral mononucleosis with other complications.
Gammaherpesviral mononucleosis is primarily caused by infections with gammaherpesviruses, notably Epstein-Barr virus (EBV) and human herpesvirus 6 (HHV-6). This condition is characterized by symptoms such as fever, lymphadenopathy, and pharyngitis, similar to classic infectious mononucleosis. However, the presence of 'other complications' indicates additional clinical manifestations that may arise, such as splenomegaly, hepatitis, or neurological symptoms. Diagnosis typically involves serological testing for specific antibodies, such as heterophile antibodies, and PCR testing to detect viral DNA. Treatment is generally supportive, focusing on symptom relief, but antiviral medications like acyclovir may be indicated in severe cases or for immunocompromised patients. The complexity of this code arises from the need to accurately document the complications and the specific viral etiology, which can vary significantly among patients.
Detailed clinical notes on symptoms, lab results, and treatment plans.
Patients presenting with fever, fatigue, and lymphadenopathy requiring differential diagnosis.
Ensure all complications are documented and linked to the primary diagnosis.
Complete blood counts and any relevant hematological findings.
Patients with splenomegaly or cytopenias associated with viral infections.
Document any hematological abnormalities that may arise as complications.
Used to confirm EBV infection in suspected cases of mononucleosis.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common complications include splenomegaly, hepatitis, and neurological symptoms. Accurate documentation of these complications is essential for proper coding.
