Infectious mononucleosis, unspecified
ICD-10 B27.9 is a billable code used to indicate a diagnosis of infectious mononucleosis, unspecified.
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 condition is most prevalent among adolescents and young adults, although it can occur at any age. Diagnosis is typically made through clinical evaluation and serological testing, including heterophile antibody tests (e.g., the Monospot test) and specific EBV antibody tests. While most cases are self-limiting, complications can arise, such as splenic rupture or secondary infections. Treatment is generally supportive, focusing on symptom relief, as there are no specific antiviral therapies approved for EBV. Patients are advised to rest, stay hydrated, and manage pain with over-the-counter medications. The unspecified nature of this code indicates that the specific viral etiology has not been determined or documented, which can complicate treatment and management.
Thorough documentation of symptoms, physical examination findings, and any laboratory tests performed.
Patients presenting with fatigue, sore throat, and lymphadenopathy.
Ensure that all relevant tests are documented to support the diagnosis.
Detailed history of exposure, comprehensive lab results, and follow-up care notes.
Patients with recurrent symptoms or complications from mononucleosis.
Consideration of differential diagnoses and potential complications.
When serological testing is performed to confirm EBV infection.
Document the reason for the test and the results.
Infectious disease specialists may require additional tests to rule out other infections.
Common symptoms include fever, sore throat, swollen lymph nodes, and fatigue. Some patients may also experience headaches, rash, and splenomegaly.
Diagnosis is typically made through clinical evaluation and serological testing, including the Monospot test and specific EBV antibody tests.
Treatment is primarily supportive, focusing on rest, hydration, and pain relief. There are no specific antiviral treatments for EBV.
