ICD-10 Code B27.02 | Gammaherpesviral mononucleosis with meningitis Symptoms, Diagnosis, Billing

Gammaherpesviral mononucleosis with meningitis is a viral infection caused by gammaherpesviruses, primarily Epstein-Barr virus (EBV). This condition is clinically significant due to its potential to cause severe neurological complications, including meningitis. The ICD-10 Code B27.02 facilitates accurate diagnosis, documentation, and billing, ensuring proper treatment and public health reporting.

What is ICD-10 Code B27.02 for Gammaherpesviral mononucleosis with meningitis?

ICD-10 Code B27.02 represents Gammaherpesviral mononucleosis with meningitis, a serious complication of viral mononucleosis. This code should be used when a patient presents with symptoms of mononucleosis alongside signs of meningitis, such as fever, headache, and neck stiffness, ensuring appropriate clinical documentation and billing.

ICD-10 Code B27.02 – Clinical Definition and Explanation of Gammaherpesviral mononucleosis with meningitis

Gammaherpesviral mononucleosis with meningitis is caused by the reactivation of gammaherpesviruses, particularly EBV, leading to systemic symptoms and central nervous system involvement. This condition necessitates prompt medical attention due to the risk of serious complications.

Key Clinical Features:

• Fever and chills
• Severe headache and neck stiffness
• Fatigue and malaise
• Lymphadenopathy and splenomegaly

ICD-10 Code B27.02 for Gammaherpesviral mononucleosis with meningitis – SOAP Notes & Clinical Use

ICD-10 Code B27.02 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code B27.02 for Gammaherpesviral mononucleosis with meningitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B27.02 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Gammaherpesviral mononucleosis with meningitis, supporting continuity of care and compliance with EHR documentation standards.

Treatment Options for ICD-10 Code B27.02 – Gammaherpesviral mononucleosis with meningitis

Gammaherpesviral mononucleosis with meningitis requires urgent medical intervention, often necessitating hospitalization for monitoring and treatment.

Antibiotic Therapy:

• Acyclovir: 10 mg/kg IV every 8 hours for 7-10 days
• Ganciclovir: 5 mg/kg IV every 12 hours for 14-21 days (alternative)

Supportive Care:

• Hydration and electrolyte management
• Pain management with analgesics
• Monitoring for neurological complications

Infection Control:

• Implement standard precautions to prevent transmission
• Isolate patients during acute illness if necessary
• Educate staff on infection control measures

How to Document Symptoms of Gammaherpesviral mononucleosis with meningitis (ICD-10 B27.02) in SOAP Notes

Subjective:

• Patient reports severe headache and neck stiffness.
• Complaints of fever and chills for the past three days.
• History of fatigue and malaise.
• Notable lymphadenopathy in the cervical region.

Objective:

• Temperature: 102°F, elevated heart rate.
• Neurological exam reveals nuchal rigidity.
• Lymph nodes palpable and tender in the neck.
• CT scan shows signs of meningeal inflammation.

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SOAP Note Guidelines for Diagnosing Gammaherpesviral mononucleosis with meningitis (ICD-10 Code B27.02)

Assessment:

• Diagnosis: Gammaherpesviral mononucleosis with meningitis, moderate severity.
• ICD-10 Code: B27.02.
• Contributing factors: Recent EBV infection.
• Patient presents with classic symptoms of meningitis.

Plan:

• Initiate antiviral therapy with Acyclovir.
• Provide hydration and monitor vital signs closely.
• Educate patient on signs of worsening condition.
• Schedule follow-up in 1 week to reassess.

Treatment & Plan Section for ICD-10 Code B27.02 – Gammaherpesviral mononucleosis with meningitis

• Administer antiviral medications as indicated.
• Ensure adequate hydration and electrolyte balance.
• Monitor neurological status and vital signs regularly.
• Educate patient on the importance of follow-up care.

Using ICD-10 Code B27.02 for Gammaherpesviral mononucleosis with meningitis in Billing & SOAP Note Compliance

• Document all symptoms clearly under Subjective (S) and Objective (O).
• Ensure treatment plans align with clinical guidelines for justified billing.
• Use appropriate ICD-10 subcodes for complications if applicable.
• Maintain accurate records to support insurance claims.

Related ICD-10 Codes Often Used with Gammaherpesviral mononucleosis with meningitis

• B27.01 – Gammaherpesviral mononucleosis without meningitis
• B27.09 – Other specified gammaherpesviral infections
• A87.9 – Viral meningitis, unspecified
• B00.9 – Herpesviral infection, unspecified

ICD-10 Code B27.02 in Medical Billing and Insurance for Gammaherpesviral mononucleosis with meningitis

ICD-10 Code B27.02 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes all relevant symptoms and treatment details.
• Use this code in acute care settings for proper reimbursement.
• Verify that all chart elements support the diagnosis for claims.
• Document any complications or additional diagnoses as needed.

Common CPT Pairings: