ICD-10 Code B27

Infectious mononucleosis

Version 2019 Non-Billable Code
ICD-10: B27
Short Description:Infectious mononucleosis
Long Description:Infectious mononucleosis

Not Valid for Submission

ICD-10 B27 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of infectious mononucleosis. The code is NOT valid for the year 2019 for the submission of HIPAA-covered transactions.

Consider the following ICD-10 codes with a higher level of specificity:

  • B27.0 - Gammaherpesviral mononucleosis
  • B27.00 - Gammaherpesviral mononucleosis without complication
  • B27.01 - Gammaherpesviral mononucleosis with polyneuropathy
  • B27.02 - Gammaherpesviral mononucleosis with meningitis
  • B27.09 - Gammaherpesviral mononucleosis with other complications
  • B27.1 - Cytomegaloviral mononucleosis
  • B27.10 - Cytomegaloviral mononucleosis without complications
  • B27.11 - Cytomegaloviral mononucleosis with polyneuropathy
  • B27.12 - Cytomegaloviral mononucleosis with meningitis
  • B27.19 - Cytomegaloviral mononucleosis with other complication
  • B27.8 - Other infectious mononucleosis
  • B27.80 - Other infectious mononucleosis without complication
  • B27.81 - Other infectious mononucleosis with polyneuropathy
  • B27.82 - Other infectious mononucleosis with meningitis
  • B27.89 - Other infectious mononucleosis with other complication
  • B27.9 - Infectious mononucleosis, unspecified
  • B27.90 - Infectious mononucleosis, unspecified without complication
  • B27.91 - Infectious mononucleosis, unspecified with polyneuropathy
  • B27.92 - Infectious mononucleosis, unspecified with meningitis
  • B27.99 - Infectious mononucleosis, unspecified with other complication

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Other viral diseases (B25-B34)
      • Infectious mononucleosis (B27)

Information for Medical Professionals

Clinical Information

Notes:

  • Infectious Mononucleosis: A common, acute infection usually caused by the Epstein-Barr virus (HERPESVIRUS 4, HUMAN). There is an increase in mononuclear white blood cells and other atypical lymphocytes, generalized lymphadenopathy, splenomegaly, and occasionally hepatomegaly with hepatitis.

Terms:

  • Glandular Fever

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references for the code B27 are found in the tabular index:

  • Includes Notes:
    • glandular fever
    • monocytic angina
    • Pfeiffer's disease

Information for Patients


Infectious Mononucleosis

Also called: Glandular fever, Kissing disease, Mono, Mononucleosis

Infectious mononucleosis, or "mono", is an infection usually caused by the Epstein-Barr virus. The virus spreads through saliva, which is why it's sometimes called "kissing disease." Mono occurs most often in teens and young adults. However, you can get it at any age. Symptoms of mono include

  • Fever
  • Sore throat
  • Swollen lymph glands

Sometimes you may also have a swollen spleen. Serious problems are rare.

A blood test can show if you have mono. Most people get better in two to four weeks. However, you may feel tired for a few months afterward. Treatment focuses on helping symptoms and includes medicines for pain and fever, warm salt water gargles and plenty of rest and fluids.

  • Epstein-Barr virus test (Medical Encyclopedia)
  • Mononucleosis (Medical Encyclopedia)
  • Mononucleosis spot test (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.