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ICD-10 Code B27.01 | Gammaherpesviral mononucleosis with polyneuropathy Symptoms, Diagnosis, Billing

Gammaherpesviral mononucleosis with polyneuropathy is a viral infection caused by gammaherpesviruses, primarily Epstein-Barr virus (EBV). This condition is clinically significant due to its potential to cause severe complications, including neurological manifestations such as polyneuropathy. The ICD-10 Code B27.01 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code B27.01 for Gammaherpesviral mononucleosis with polyneuropathy?

ICD-10 Code B27.01 represents Gammaherpesviral mononucleosis with polyneuropathy, a condition characterized by the presence of mononucleosis symptoms alongside neurological complications. This code should be used in clinical documentation and billing when a patient presents with symptoms of mononucleosis, such as fever and lymphadenopathy, along with signs of polyneuropathy, ensuring proper coding for treatment and management.

ICD-10 Code B27.01 – Clinical Definition and Explanation of Gammaherpesviral mononucleosis with polyneuropathy

Gammaherpesviral mononucleosis with polyneuropathy is primarily caused by the Epstein-Barr virus, leading to an infectious mononucleosis presentation. The condition can progress to involve peripheral nerves, necessitating medical intervention. Early recognition and treatment are crucial to prevent complications.

Key Clinical Features:

  • Fever and fatigue commonly associated with mononucleosis.
  • Lymphadenopathy, particularly in the cervical region.
  • Neurological symptoms such as weakness or sensory changes.
  • Elevated liver enzymes indicating hepatic involvement.

ICD-10 Code B27.01 for Gammaherpesviral mononucleosis with polyneuropathy – SOAP Notes & Clinical Use

ICD-10 Code B27.01 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and guiding clinical decision-making.

What Does ICD-10 Code B27.01 for Gammaherpesviral mononucleosis with polyneuropathy Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B27.01 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Gammaherpesviral mononucleosis with polyneuropathy. This code supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B27.01 – Gammaherpesviral mononucleosis with polyneuropathy

Gammaherpesviral mononucleosis with polyneuropathy may require hospitalization for severe cases. Treatment focuses on managing symptoms and preventing complications.

Antibiotic Therapy:

  • Antibiotics are not typically indicated unless secondary bacterial infections occur.
  • Supportive care is the primary treatment approach.

Supportive Care:

  • Hydration and rest to support recovery.
  • Pain management with NSAIDs or acetaminophen.
  • Corticosteroids may be considered for severe neurological symptoms.

Infection Control:

  • Standard precautions to prevent transmission.
  • Patient education on hygiene practices.

How to Document Symptoms of Gammaherpesviral mononucleosis with polyneuropathy (ICD-10 B27.01) in SOAP Notes

Subjective:

  • Patient reports persistent fatigue and fever for several days.
  • Complains of sore throat and swollen lymph nodes.
  • Describes tingling and weakness in extremities.
  • History of recent exposure to someone with mononucleosis.

Objective:

  • Vital signs: Temperature 101°F, HR 88 bpm.
  • Physical exam reveals cervical lymphadenopathy.
  • Neurological exam shows decreased sensation in hands and feet.
  • Laboratory tests indicate elevated liver enzymes.
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SOAP Note Guidelines for Diagnosing Gammaherpesviral mononucleosis with polyneuropathy (ICD-10 Code B27.01)

Assessment:

  • Diagnosis: Gammaherpesviral mononucleosis with polyneuropathy, moderate severity.
  • ICD-10 Code: B27.01.
  • Contributing factors: Recent viral infection, possible exposure to EBV.

Plan:

  • Initiate supportive care with hydration and NSAIDs.
  • Monitor neurological symptoms closely.
  • Educate patient on symptom management and when to seek further care.
  • Schedule follow-up in one week to reassess.

Treatment & Plan Section for ICD-10 Code B27.01 – Gammaherpesviral mononucleosis with polyneuropathy

  • Consider corticosteroids for severe neurological symptoms.
  • Encourage rest and hydration to aid recovery.
  • Monitor liver function tests and neurological status.
  • Provide education on the nature of the illness and recovery expectations.

Using ICD-10 Code B27.01 for Gammaherpesviral mononucleosis with polyneuropathy in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use the code in settings where mononucleosis and polyneuropathy are diagnosed.
  • Align treatment plans with clinical guidelines to support billing.
  • Include relevant CPT codes for any procedures performed.

ICD-10 Code B27.01 in Medical Billing and Insurance for Gammaherpesviral mononucleosis with polyneuropathy

ICD-10 Code B27.01 is essential for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant patient history and clinical findings to support the claim.
  • Use the code in conjunction with other relevant codes for comprehensive billing.
  • Ensure that the diagnosis is clearly linked to the treatment provided.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, moderate complexity.
85025Complete blood count with automated differential.
96372Therapeutic, prophylactic, or diagnostic injection.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B27.01 for Gammaherpesviral mononucleosis with polyneuropathy

What are the common symptoms of Gammaherpesviral mononucleosis?

Common symptoms include fever, sore throat, swollen lymph nodes, and fatigue. Neurological symptoms such as weakness or tingling may also occur due to polyneuropathy.

How is Gammaherpesviral mononucleosis diagnosed?

Diagnosis is typically made through clinical evaluation of symptoms, laboratory tests for viral markers, and assessment of neurological function.

What is the treatment for Gammaherpesviral mononucleosis with polyneuropathy?

Treatment primarily involves supportive care, including hydration and pain management. Corticosteroids may be used for severe neurological symptoms.

Is Gammaherpesviral mononucleosis contagious?

Yes, it is contagious and can be transmitted through saliva, making it important to practice good hygiene and avoid sharing utensils.

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