Cytomegaloviral mononucleosis with other complication
ICD-10 B27.19 is a billable code used to indicate a diagnosis of cytomegaloviral mononucleosis with other complication.
Cytomegaloviral (CMV) mononucleosis is a viral infection caused by the cytomegalovirus, which is a member of the herpesvirus family. This condition is characterized by symptoms similar to those of infectious mononucleosis, including fever, fatigue, sore throat, and lymphadenopathy. In cases classified under B27.19, the infection is complicated by additional factors such as hepatitis, pneumonia, or neurological manifestations. CMV is particularly concerning in immunocompromised individuals, such as those with HIV/AIDS, organ transplant recipients, or patients undergoing chemotherapy. Diagnosis typically involves serological tests to detect CMV-specific IgM and IgG antibodies, as well as PCR testing to identify viral DNA in blood or other body fluids. Antiviral treatments, such as ganciclovir or foscarnet, may be employed in severe cases or in immunocompromised patients to manage the infection and its complications. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed clinical notes on symptoms, lab results, and treatment plans.
Patients presenting with mononucleosis-like symptoms and a history of immunosuppression.
Ensure all complications are documented and linked to the primary diagnosis.
Comprehensive records of the patient's cancer treatment and any related immunosuppression.
Oncology patients developing CMV infections post-chemotherapy.
Highlight the relationship between chemotherapy and increased risk of CMV complications.
Used to confirm CMV infection in symptomatic patients.
Document the reason for testing and clinical findings.
Infectious disease specialists should ensure comprehensive documentation of symptoms.
Common complications include hepatitis, pneumonia, and neurological issues such as encephalitis. These complications can significantly impact the patient's health and require careful management.
