B27.02
Gammaherpesviral mononucleosis with meningitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Gammaherpesviral mononucleosis with meningitis is a rare infectious condition caused by the Epstein-Barr virus (EBV), specifically when it leads to inflammation of the membranes surrounding the brain and spinal cord, known as meningitis. This condition is marked by symptoms of mononucleosis, often called 'mono,' combined with neurological issues resulting from meningitis. Recognizing the signs and understanding the causes can aid in prompt diagnosis and management.
Causes & Symptoms
Clinical Causes: Infection with the Epstein-Barr Virus (EBV), which primarily causes mononucleosis. In some cases, EBV can invade the central nervous system, leading to meningitis. Transmission occurs typically through saliva, sharing utensils, or close contact with an infected person. Immunocompromised individuals may have a higher risk of developing neurological complications, including meningitis.
Key Symptoms: Fever Sore throat Swollen lymph nodes in the neck and armpits Fatigue and weakness Headache Neck stiffness or rigidity Sensitivity to light (photophobia) Nausea or vomiting Altered mental status or confusion Seizures (in severe cases) Weakness or numbness in limbs
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory tests, including:
Treatment Protocols: Management typically focuses on supportive care and symptom relief:
Clinical Advice & FAQs
Billing Guidance
Is B27.02 a billable ICD-10 code?
Yes, B27.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B27.02?
Clinical documentation must specify the nature of Gammaherpesviral mononucleosis with meningitis and any associated comorbidities for accurate reporting.
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