Infectious mononucleosis (usually due to Epstein-Barr virus): Difference between revisions
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***If the virus '''is known''' and is on our list of specific [[pathogen]] list [[:Category:Virus|viruses]], use that. | ***If the virus '''is known''' and is on our list of specific [[pathogen]] list [[:Category:Virus|viruses]], use that. | ||
***If the virus '''is known and is NOT on our list''' of specific [[pathogen]] list [[:Category:Virus|viruses]], use '''[[Virus, NOS]]''' -- this is the current situation for EBV, by the way. | ***If the virus '''is known and is NOT on our list''' of specific [[pathogen]] list [[:Category:Virus|viruses]], use '''[[Virus, NOS]]''' -- this is the current situation for EBV, by the way. | ||
***If the | ***If the organism, of any type, causing it'''is NOT known''', use '''[[Infectious organism, unknown]]''' | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
Latest revision as of 01:17, 1 December 2018
| ICD10 Diagnosis | |
| Dx: | Infectious mononucleosis (usually due to Epstein-Barr virus) |
| ICD10 code: | B27 |
| Pre-ICD10 counterpart: | ENT infection - WITHOUT airway obstruction ( Laryngitis, Mono, Peritonsillar abscess etc), ENT infection - WITH airway obstruction ( Laryngitis, Mono, Peritonsillar abscess etc) |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Infectious mononucleosis (IM, mono), also known as glandular fever, is an infection usually but not always caused by the Epstein–Barr virus (EBV). While usually caused by Epstein–Barr virus (EBV), also known as human herpesvirus 4, which is a member of the herpes virus family, a few other viruses may also cause the disease.
- This code is not a pathogen code because it can be caused by various viruses, and usually the causative pathogen is never identified, or even sought in clinical Mononucleosis.
- Thus, for this diagnosis, since we do not have a specific pathogen code for EBV, do the following:
- If the virus is known and is on our list of specific pathogen list viruses, use that.
- If the virus is known and is NOT on our list of specific pathogen list viruses, use Virus, NOS -- this is the current situation for EBV, by the way.
- If the organism, of any type, causing itis NOT known, use Infectious organism, unknown
- Thus, for this diagnosis, since we do not have a specific pathogen code for EBV, do the following:
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Potential Infection must have pathogen or alt | CCMDB.accdb | declined |
| Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogen | CCMDB.accdb | implemented |
| Check Inf Infection with implied pathogen must not have a pathogen combined code | CCMDB.accdb | implemented |
| Query check ICD10 Inf Infection req Pathogen must have one | CCMDB.accdb | implemented |
| Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
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