ICD-10 Code B27.11 | Cytomegaloviral mononucleosis with polyneuropathy Symptoms, Diagnosis, Billing

Cytomegaloviral mononucleosis with polyneuropathy is a viral infection caused by the cytomegalovirus (CMV), leading to symptoms similar to infectious mononucleosis, including fever, fatigue, and lymphadenopathy, along with neurological complications such as polyneuropathy. Accurate coding with ICD-10 Code B27.11 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring appropriate patient management and resource allocation.

What is ICD-10 Code B27.11 for Cytomegaloviral mononucleosis with polyneuropathy?

ICD-10 Code B27.11 represents Cytomegaloviral mononucleosis with polyneuropathy, a condition characterized by the presence of cytomegalovirus infection manifesting as mononucleosis symptoms alongside neurological complications. This code should be used in clinical documentation and billing when a patient presents with these specific symptoms and confirmed CMV infection.

ICD-10 Code B27.11 – Clinical Definition and Explanation of Cytomegaloviral mononucleosis with polyneuropathy

Cytomegaloviral mononucleosis with polyneuropathy is caused by the cytomegalovirus, a member of the herpesvirus family. The condition can progress to involve peripheral nerves, leading to significant morbidity. Prompt medical attention is required to manage symptoms and prevent complications.

Key Clinical Features:

• Fever and fatigue resembling infectious mononucleosis.
• Lymphadenopathy and splenomegaly.
• Neurological symptoms including weakness and sensory changes.
• Elevated liver enzymes and atypical lymphocytes on blood tests.

ICD-10 Code B27.11 for Cytomegaloviral mononucleosis with polyneuropathy – SOAP Notes & Clinical Use

ICD-10 Code B27.11 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 patient management and accurate billing.

What Does ICD-10 Code B27.11 for Cytomegaloviral mononucleosis with polyneuropathy Mean in SOAP Notes?

ICD-10 Code B27.11 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of cytomegaloviral mononucleosis with polyneuropathy. This code supports continuity of care, facilitates billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B27.11 – Cytomegaloviral mononucleosis with polyneuropathy

Management of cytomegaloviral mononucleosis with polyneuropathy may require hospitalization for severe cases. Treatment focuses on antiviral therapy and supportive care.

Antibiotic Therapy:

• Antiviral therapy: Ganciclovir or Foscarnet, typically for 2-3 weeks.
• Alternative: Valganciclovir for outpatient management.

Supportive Care:

• Hydration and electrolyte management.
• Pain management with analgesics.
• Physical therapy for neurological symptoms.

Infection Control:

• Standard precautions to prevent CMV transmission.
• Isolation of immunocompromised patients if necessary.

How to Document Symptoms of Cytomegaloviral mononucleosis with polyneuropathy (ICD-10 B27.11) in SOAP Notes

Subjective:

• Patient reports persistent fatigue and fever for 2 weeks.
• Complains of numbness and tingling in extremities.
• History of recent upper respiratory infection.
• Denies any recent travel or exposure to sick contacts.

Objective:

• Vital signs: Temperature 101°F, HR 90 bpm.
• Physical exam reveals lymphadenopathy in cervical region.
• Neurological exam shows decreased sensation in lower extremities.
• Laboratory tests: Positive CMV IgM, elevated liver enzymes.

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SOAP Note Guidelines for Diagnosing Cytomegaloviral mononucleosis with polyneuropathy (ICD-10 Code B27.11)

Assessment:

• Diagnosis: Cytomegaloviral mononucleosis with polyneuropathy, moderate severity.
• ICD-10 Code: B27.11.
• Contributing factors: Recent viral infection, immunocompromised state.

Plan:

• Initiate antiviral therapy with Ganciclovir.
• Provide education on symptom management and hydration.
• Schedule follow-up in 1 week to monitor progress.
• Consider referral to neurology for persistent neurological symptoms.

Treatment & Plan Section for ICD-10 Code B27.11 – Cytomegaloviral mononucleosis with polyneuropathy

• First-line treatment: Ganciclovir for antiviral therapy.
• Non-pharmacologic strategies: Adequate rest and hydration.
• Monitoring: Regular follow-up for neurological assessment.
• Patient education: Importance of adherence to treatment and symptom monitoring.

Using ICD-10 Code B27.11 for Cytomegaloviral mononucleosis with polyneuropathy in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical presentation.
• Document symptoms clearly under Subjective (S) and Objective (O) sections.
• Ensure treatment plans align with clinical guidelines for justified billing.
• Include relevant CPT codes for services rendered during the visit.

Related ICD-10 Codes Often Used with Cytomegaloviral mononucleosis with polyneuropathy

• B27.10 – Cytomegaloviral mononucleosis without polyneuropathy
• B27.12 – Cytomegaloviral mononucleosis with other complications
• B25.9 – Cytomegalovirus infection, unspecified

ICD-10 Code B27.11 in Medical Billing and Insurance for Cytomegaloviral mononucleosis with polyneuropathy

ICD-10 Code B27.11 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the ICD-10 claim.
• Use the code in conjunction with appropriate CPT codes for services provided.
• Ensure documentation reflects the severity and complexity of the case.

Common CPT Pairings: