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ICD-10 Code B27.82 | Other infectious mononucleosis with meningitis Symptoms, Diagnosis, Billing

Other infectious mononucleosis with meningitis is characterized by the presence of infectious mononucleosis symptoms, such as fever, sore throat, and lymphadenopathy, accompanied by meningitis. This condition can be caused by various viral infections, including Epstein-Barr virus and cytomegalovirus. Accurate coding with ICD-10 Code B27.82 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this serious condition effectively.

What is ICD-10 Code B27.82 for Other infectious mononucleosis with meningitis?

ICD-10 Code B27.82 represents Other infectious mononucleosis with meningitis, a condition where infectious mononucleosis symptoms are present alongside meningitis. This code should be used when documenting cases where patients exhibit signs of both conditions, ensuring accurate representation of the patient's clinical status for billing and treatment purposes.

ICD-10 Code B27.82 – Clinical Definition and Explanation of Other infectious mononucleosis with meningitis

Other infectious mononucleosis with meningitis is a serious condition that arises when infectious mononucleosis, often caused by viral pathogens, leads to inflammation of the protective membranes covering the brain and spinal cord. This condition requires prompt medical attention due to the potential for severe complications.

Key Clinical Features:

  • Fever and chills, often accompanied by fatigue and malaise.
  • Sore throat and swollen lymph nodes, typical of infectious mononucleosis.
  • Neurological symptoms such as headache, neck stiffness, and altered mental status.
  • Signs of meningeal irritation, including photophobia and Kernig's sign.

ICD-10 Code B27.82 for Other infectious mononucleosis with meningitis – SOAP Notes & Clinical Use

ICD-10 Code B27.82 is utilized in SOAP notes to document the presence of symptoms, assessment findings, and treatment plans for patients diagnosed with Other infectious mononucleosis with meningitis. This code is relevant in both acute and chronic care settings, facilitating comprehensive patient management.

What Does ICD-10 Code B27.82 for Other infectious mononucleosis with meningitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B27.82 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Other infectious mononucleosis with meningitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B27.82 – Other infectious mononucleosis with meningitis

The management of Other infectious mononucleosis with meningitis often necessitates hospitalization due to the potential for severe complications. Treatment may include specific therapies depending on the underlying cause.

Antibiotic Therapy:

  • First-line: Acyclovir for viral infections, typically administered for 7-10 days.
  • Alternative: Ganciclovir for cytomegalovirus infections, duration based on clinical response.
  • Consideration of supportive antibiotics if secondary bacterial infections are suspected.

Supportive Care:

  • Hydration and electrolyte management to prevent dehydration.
  • Analgesics and antipyretics for fever and pain relief.
  • Corticosteroids may be considered for severe inflammatory responses.

Infection Control:

  • Implement standard precautions to prevent transmission.
  • Isolation may be necessary during outbreaks to protect vulnerable populations.
  • Educate patients on hygiene practices to minimize spread.

How to Document Symptoms of Other infectious mononucleosis with meningitis (ICD-10 B27.82) in SOAP Notes

Subjective:

  • Patient reports persistent fever and severe sore throat.
  • History of recent viral illness with fatigue and malaise.
  • Complaints of headache and neck stiffness.

Objective:

  • Vital signs: Fever 101°F, heart rate 90 bpm.
  • Physical exam reveals swollen cervical lymph nodes.
  • Neurological exam shows positive Kernig's sign.
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SOAP Note Guidelines for Diagnosing Other infectious mononucleosis with meningitis (ICD-10 Code B27.82)

Assessment:

  • Diagnosis: Other infectious mononucleosis with meningitis, moderate severity.
  • ICD-10 Code: B27.82.
  • Contributing factors: Recent viral infection, possible exposure to infectious agents.

Plan:

  • Initiate antiviral therapy with Acyclovir.
  • Provide supportive care including hydration and pain management.
  • Schedule follow-up in 1 week to reassess symptoms and treatment efficacy.

Treatment & Plan Section for ICD-10 Code B27.82 – Other infectious mononucleosis with meningitis

  • Administer antiviral medications as indicated based on the causative agent.
  • Encourage rest and hydration to support recovery.
  • Monitor neurological status closely for any deterioration.
  • Educate patient on recognizing worsening symptoms that require immediate attention.

Using ICD-10 Code B27.82 for Other infectious mononucleosis with meningitis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
  • Use the code in conjunction with relevant CPT codes for laboratory tests and treatments.
  • Maintain compliance with clinical guidelines to support justified billing.
  • Document any complications or comorbidities that may affect treatment and billing.

ICD-10 Code B27.82 in Medical Billing and Insurance for Other infectious mononucleosis with meningitis

ICD-10 Code B27.82 is crucial 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 this code in acute care settings where immediate intervention is required.
  • Ensure that the diagnosis aligns with the services provided to avoid claim denials.

Common CPT Pairings:

CPT CodeDescription
87491Infectious agent detection by nucleic acid (DNA or RNA); viral, including Epstein-Barr virus.
99223Initial hospital care, typically involving a comprehensive evaluation and management.
96372Therapeutic, prophylactic, or diagnostic injection (e.g., Acyclovir administration).

Frequently Asked Questions

Common Questions About Using ICD-10 Code B27.82 for Other infectious mononucleosis with meningitis

What are the common causes of Other infectious mononucleosis with meningitis?

The condition is primarily caused by viral infections, notably Epstein-Barr virus and cytomegalovirus, which can lead to both mononucleosis and meningitis.

How is Other infectious mononucleosis with meningitis diagnosed?

Diagnosis typically involves clinical evaluation of symptoms, laboratory tests for viral pathogens, and imaging studies if neurological symptoms are present.

What is the treatment for Other infectious mononucleosis with meningitis?

Treatment may include antiviral medications, supportive care for symptoms, and monitoring for complications, especially in severe cases.

Is hospitalization required for Other infectious mononucleosis with meningitis?

Yes, hospitalization is often necessary for close monitoring and treatment, particularly if neurological symptoms are severe or worsening.

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