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ICD-10 Code B27.19 | Cytomegaloviral mononucleosis with other complication Symptoms, Diagnosis, Billing

Cytomegaloviral mononucleosis with other complication is caused by the cytomegalovirus (CMV), leading to symptoms similar to infectious mononucleosis, including fever, fatigue, and lymphadenopathy. This condition can result in severe complications, particularly in immunocompromised patients. The ICD-10 Code B27.19 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code B27.19 for Cytomegaloviral mononucleosis with other complication?

ICD-10 Code B27.19 represents Cytomegaloviral mononucleosis with other complication, indicating a diagnosis of mononucleosis caused by cytomegalovirus, accompanied by additional complications. This code should be used when documenting cases where patients present with symptoms of mononucleosis and have identifiable complications, ensuring proper billing and clinical management.

ICD-10 Code B27.19 – Clinical Definition and Explanation of Cytomegaloviral mononucleosis with other complication

Cytomegaloviral mononucleosis with other complication is primarily caused by cytomegalovirus, a member of the herpesvirus family. The condition can progress to severe complications, particularly in immunocompromised individuals, necessitating prompt medical attention.

Key Clinical Features:

  • Fever and fatigue lasting several weeks.
  • Lymphadenopathy, particularly in the cervical region.
  • Hepatosplenomegaly may be present.
  • Possible complications include pneumonia or hepatitis.

ICD-10 Code B27.19 for Cytomegaloviral mononucleosis with other complication – SOAP Notes & Clinical Use

ICD-10 Code B27.19 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Cytomegaloviral mononucleosis with other complication. It plays a crucial role in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B27.19 for Cytomegaloviral mononucleosis with other complication Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B27.19 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Cytomegaloviral mononucleosis with other complication. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B27.19 – Cytomegaloviral mononucleosis with other complication

Cytomegaloviral mononucleosis with other complication may require hospitalization, especially in severe cases. Treatment focuses on managing symptoms and preventing complications.

Antibiotic Therapy:

  • Antiviral therapy such as ganciclovir or foscarnet may be indicated.
  • Duration typically ranges from 2 to 3 weeks depending on severity.
  • Alternative therapies may include cidofovir.

Supportive Care:

  • Hydration and rest are essential.
  • Analgesics and antipyretics for symptom relief.
  • Monitoring for complications such as pneumonia.

Infection Control:

  • Standard precautions to prevent transmission.
  • Isolation may be necessary in hospital settings.
  • Education on hygiene practices for patients and caregivers.

How to Document Symptoms of Cytomegaloviral mononucleosis with other complication (ICD-10 B27.19) in SOAP Notes

Subjective:

  • Patient reports persistent fatigue and fever for two weeks.
  • Complaints of sore throat and swollen lymph nodes.
  • History of recent exposure to an individual with mononucleosis.

Objective:

  • Vital signs: Temperature 101°F, heart rate 90 bpm.
  • Physical exam reveals cervical lymphadenopathy.
  • Liver function tests show mild elevation in transaminases.
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SOAP Note Guidelines for Diagnosing Cytomegaloviral mononucleosis with other complication (ICD-10 Code B27.19)

Assessment:

  • Diagnosis: Cytomegaloviral mononucleosis with other complication, moderate severity.
  • ICD-10 Code: B27.19.
  • Contributing factors include recent viral exposure and immunocompromised status.

Plan:

  • Initiate antiviral therapy with ganciclovir.
  • Educate patient on symptom management and hydration.
  • Schedule follow-up in one week to monitor progress.

Treatment & Plan Section for ICD-10 Code B27.19 – Cytomegaloviral mononucleosis with other complication

  • First-line antiviral treatment with ganciclovir.
  • Supportive care including hydration and pain management.
  • Regular monitoring of liver function and symptoms.
  • Follow-up appointments to assess recovery and complications.

Using ICD-10 Code B27.19 for Cytomegaloviral mononucleosis with other complication in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
  • Use B27.19 for cases with identifiable complications to support billing.
  • Align treatment plans with clinical guidelines for justified billing.
  • Document any relevant comorbidities or complications.

ICD-10 Code B27.19 in Medical Billing and Insurance for Cytomegaloviral mononucleosis with other complication

ICD-10 Code B27.19 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings to support the use of B27.19.
  • Use this code in acute care settings where complications are present.
  • Ensure that the patient's history and symptoms are clearly outlined in the chart.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
87556Qualitative detection of cytomegalovirus.
36415Collection of venous blood by venipuncture.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B27.19 for Cytomegaloviral mononucleosis with other complication

What are the common symptoms of Cytomegaloviral mononucleosis?

Common symptoms include prolonged fatigue, fever, sore throat, and swollen lymph nodes. Patients may also experience hepatosplenomegaly and other systemic symptoms.

When should ICD-10 Code B27.19 be used?

This code should be used when a patient presents with symptoms of mononucleosis caused by cytomegalovirus, particularly when complications are identified.

What is the treatment for Cytomegaloviral mononucleosis?

Treatment typically involves antiviral medications such as ganciclovir, along with supportive care to manage symptoms and prevent complications.

How does this condition affect immunocompromised patients?

Immunocompromised patients are at higher risk for severe complications from Cytomegaloviral mononucleosis, necessitating closer monitoring and more aggressive treatment.

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