2025 ICD-10-CM code B27.1
(Active) Effective Date: N/A Infectious and parasitic diseases - Other viral diseases (B25-B34) Certain infectious and parasitic diseases (A00-B99) Feed
Cytomegaloviral mononucleosis.
Medical necessity for diagnostic testing and treatment is established by the presence of signs and symptoms suggestive of CMV infection, especially in high-risk individuals (e.g., immunocompromised patients, newborns).The specific medical necessity criteria may vary depending on the payer and the clinical scenario.
Physicians diagnose cytomegaloviral mononucleosis based on patient history, physical examination, and symptoms. Diagnostic tests like CBC, ESR, throat cultures, heterophile antibody tests, and PCR are used.
In simple words: Cytomegaloviral mononucleosis is an infection caused by a virus similar to the one that causes cold sores. It can cause fever, tiredness, sore throat, swollen glands, and headache.It's usually not serious, but sometimes it can affect the liver or spleen.Doctors diagnose it with a blood test. Treatment focuses on relieving symptoms like fever.
Cytomegaloviral mononucleosis is a condition caused by infection with cytomegalovirus (CMV), a type of herpesvirus. It is characterized by symptoms similar to infectious mononucleosis, such as fever, fatigue, sore throat, swollen lymph nodes, and headache. In severe cases, complications like hepatitis and splenomegaly can occur. Diagnosis involves blood tests to detect CMV IgM antibodies. Treatment is primarily symptomatic, focusing on managing fever and other symptoms. Steroids may be used in cases of airway obstruction.
Example 1: A 25-year-old daycare worker presents with fever, fatigue, sore throat, and swollen lymph nodes. Blood tests reveal CMV IgM antibodies, confirming a diagnosis of cytomegaloviral mononucleosis., A 40-year-old transplant recipient develops fever, diarrhea, and abdominal pain.Further testing reveals CMV infection in the gastrointestinal tract, leading to a diagnosis of CMV colitis., A newborn infant exhibits low birth weight, jaundice, and hearing loss.Laboratory testing confirms congenital CMV infection.
Documentation should include patient history, physical examination findings, and results of diagnostic tests (CBC, ESR, throat cultures, heterophile antibody tests, CMV IgM antibody test, and potentially PCR).If complications arise, documentation related to those specific conditions (e.g., hepatitis, splenomegaly) should also be included.
** CMV infection is widespread, and many people are infected without experiencing symptoms.However, it can cause severe illness in immunocompromised individuals and newborns. Transmission occurs through contact with bodily fluids.Prevention measures include hand hygiene and safe sex practices.
- Specialties:Infectious disease, Internal medicine, Family medicine, Pediatrics,Transplant medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital,Home,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home