Benign recurrent meningitis [Mollaret]
ICD-10 G03.2 is a billable code used to indicate a diagnosis of benign recurrent meningitis [mollaret].
Benign recurrent meningitis, also known as Mollaret's meningitis, is characterized by recurrent episodes of aseptic meningitis, typically caused by viral infections, most commonly herpes simplex virus (HSV). Patients often present with symptoms such as fever, headache, neck stiffness, and photophobia. Unlike other forms of meningitis, Mollaret's meningitis is self-limiting and does not lead to significant long-term complications. The episodes can recur multiple times over a patient's lifetime, with intervals of symptom-free periods. Diagnosis is primarily clinical, supported by cerebrospinal fluid (CSF) analysis showing pleocytosis with lymphocytic predominance and negative bacterial cultures. MRI may be utilized to rule out other causes of meningitis. Treatment is generally symptomatic, focusing on pain relief and hydration, although antiviral therapy may be considered in severe cases. Understanding the benign nature of this condition is crucial for appropriate management and reassurance of patients.
Detailed patient history, including frequency and duration of episodes, and results of CSF analysis.
Patients presenting with recurrent headaches and fever, with CSF showing lymphocytic pleocytosis.
Ensure clear documentation of the benign nature of the condition to avoid misclassification.
Documentation of viral testing and exclusion of other infectious causes.
Patients with recurrent meningitis symptoms after HSV infection.
Consideration of antiviral therapy and its documentation in the treatment plan.
Used when testing for HSV in patients with recurrent meningitis.
Document the reason for testing and results.
Neurology and Infectious Disease specialists should ensure accurate documentation of test results.
The primary cause is often viral, particularly herpes simplex virus, leading to recurrent episodes of aseptic meningitis.
