2026 ICD-10-CM Diagnosis Code B27.89Other infectious mononucleosis with other complication
ICD-10-CM Codes›A00–B99›B25-B34›B27
- Billable — Valid for Submission
- Not Chronic
B27.89 is a billable ICD-10-CM diagnosis code for other infectious mononucleosis with other complication. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 865 through 866. Coders also document this condition as HIV infection with infectious mononucleosis-like syndrome. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Viral infection.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- HIV infection with infectious mononucleosis-like syndrome
- Mononuclear interstitial pneumonitis
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Hepatomegaly in other infectious mononucleosis
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Hepatomegaly - See Also: Hypertrophy, liver;
- infectious specified NEC - B27.89
- Mononucleosis, infectious - B27.90
- specified NEC - B27.80
- with
- complication NEC - B27.89
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Hepatomegaly
- in mononucleosis
- infectious specified NEC
- Mononucleosis, infectious
- specified NEC
- with
- complication NEC
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Fatigue Syndrome, Chronic
a syndrome characterized by persistent or recurrent fatigue, diffuse musculoskeletal pain, sleep disturbances, and subjective cognitive impairment of 6 months duration or longer. symptoms are not caused by ongoing exertion; are not relieved by rest; and result in a substantial reduction of previous levels of occupational, educational, social, or personal activities. minor alterations of immune, neuroendocrine, and autonomic function may be associated with this syndrome. there is also considerable overlap between this condition and fibromyalgia. (from semin neurol 1998;18(2):237-42; ann intern med 1994 dec 15;121(12): 953-9)Herpesvirus 4, Human
the type species of lymphocryptovirus, subfamily gammaherpesvirinae, infecting b-cells in humans. it is thought to be the causative agent of infectious mononucleosis and is strongly associated with oral hairy leukoplakia (leukoplakia, hairy;), burkitt lymphoma; and other malignancies.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.Fibromyalgia
a common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). muscle pain is typically aggravated by inactivity or exposure to cold. this condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, headaches, and occasionally depression. there is significant overlap between fibromyalgia and the chronic fatigue syndrome (fatigue syndrome, chronic). fibromyalgia may arise as a primary or secondary disease process. it is most frequent in females aged 20 to 50 years. (from adams et al., principles of neurology, 6th ed, p1494-95)
Patient EducationClinical
Infectious Mononucleosis
Infectious mononucleosis (mono) is a disease caused by viruses.The most common cause is the Epstein-Barr virus (EBV). Mono is contagious, which means it can spread from person to person. It is common among teenagers and young adults, especially college students.
The full article covers:
- What is infectious mononucleosis (mono)?
- What causes infectious mononucleosis (mono)?
- What are the symptoms of infectious mononucleosis (mono)?
- How is infectious mononucleosis (mono) diagnosed?
- What are the treatments for infectious mononucleosis (mono)?
- Can infectious mononucleosis (mono) be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert B27.89 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About B27.89Overview
Is B27.89 (Other infectious mononucleosis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other infectious mononucleosis with other complication on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does B27.89 group to?
When other infectious mononucleosis with other complication is the principal diagnosis on an inpatient stay, it groups to MS-DRG 865, 866, with relative weights from 0.8696 to 1.4983 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of B27.89?
Under the General Equivalence Mappings, other infectious mononucleosis with other complication converts to ICD-9-CM 075 (infectious mononucleosis). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
