ICD-10 Code B27.12 | Cytomegaloviral mononucleosis with meningitis Symptoms, Diagnosis, Billing

Cytomegaloviral mononucleosis with meningitis 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 meningitis. Accurate coding with ICD-10 Code B27.12 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B27.12 for Cytomegaloviral mononucleosis with meningitis?

ICD-10 Code B27.12 represents Cytomegaloviral mononucleosis with meningitis, a condition characterized by the presence of cytomegalovirus infection leading to mononucleosis symptoms and inflammation of the protective membranes covering the brain and spinal cord. 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 B27.12 – Clinical Definition and Explanation of Cytomegaloviral mononucleosis with meningitis

Cytomegaloviral mononucleosis with meningitis is primarily caused by the cytomegalovirus, which can lead to significant morbidity, particularly in immunocompromised individuals. The condition requires prompt medical attention due to potential complications such as neurological deficits.

Key Clinical Features:

• Fever and fatigue resembling infectious mononucleosis.
• Lymphadenopathy and splenomegaly.
• Neurological symptoms including headache and altered mental status.
• Meningeal signs such as nuchal rigidity.

ICD-10 Code B27.12 for Cytomegaloviral mononucleosis with meningitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B27.12 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to cytomegaloviral mononucleosis with meningitis. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B27.12 for Cytomegaloviral mononucleosis with meningitis Mean in SOAP Notes?

ICD-10 Code B27.12 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of cytomegaloviral mononucleosis with meningitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B27.12 – Cytomegaloviral mononucleosis with meningitis

Cytomegaloviral mononucleosis with meningitis often necessitates hospitalization for monitoring and treatment. Antiviral therapy may be indicated, along with supportive care.

Antibiotic Therapy:

• Antiviral therapy such as ganciclovir or foscarnet may be considered.
• Duration typically ranges from 2 to 3 weeks depending on clinical response.
• Alternative antiviral options may include cidofovir.

Supportive Care:

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

Infection Control:

• Standard precautions to prevent transmission.
• Isolation may be necessary in immunocompromised settings.
• Education on hygiene practices to prevent spread.

How to Document Symptoms of Cytomegaloviral mononucleosis with meningitis (ICD-10 B27.12) in SOAP Notes

Subjective:

• Patient reports persistent fever and fatigue.
• History of recent exposure to individuals with viral infections.
• Complaints of severe headache and neck stiffness.
• Notable lymphadenopathy in cervical region.

Objective:

• Vital signs: Temperature 101°F, HR 90 bpm, BP 120/80 mmHg.
• Physical exam reveals nuchal rigidity and photophobia.
• Laboratory findings show elevated white blood cell count.
• Lumbar puncture indicates pleocytosis with lymphocytic predominance.

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SOAP Note Guidelines for Diagnosing Cytomegaloviral mononucleosis with meningitis (ICD-10 Code B27.12)

Assessment:

• Diagnosis: Cytomegaloviral mononucleosis with meningitis, moderate severity.
• ICD-10 Code: B27.12.
• Contributing factors include recent viral exposure and immunocompromised status.

Plan:

• Initiate antiviral therapy with ganciclovir.
• Provide education on symptom management and hydration.
• Schedule follow-up in one week to monitor progress.
• Consider referral to infectious disease specialist if no improvement.

Treatment & Plan Section for ICD-10 Code B27.12 – Cytomegaloviral mononucleosis with meningitis

• First-line antiviral treatment with ganciclovir.
• Supportive care including hydration and pain management.
• Monitoring for neurological complications and follow-up appointments.
• Patient education on recognizing worsening symptoms.

Using ICD-10 Code B27.12 for Cytomegaloviral mononucleosis with meningitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use B27.12 in appropriate clinical settings, including inpatient and outpatient care.
• Align treatment plans with clinical guidelines to support justified billing.
• Document any relevant comorbidities or complications.

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

• B27.10 – Cytomegaloviral mononucleosis without meningitis
• B27.11 – Cytomegaloviral mononucleosis with other complications
• B20 – HIV disease
• A87.9 – Viral meningitis, unspecified

ICD-10 Code B27.12 in Medical Billing and Insurance for Cytomegaloviral mononucleosis with meningitis

ICD-10 Code B27.12 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the claim.
• Use B27.12 in conjunction with other relevant codes for comprehensive billing.
• Ensure that the diagnosis is clearly linked to the services provided.

Common CPT Pairings: