Primary Care Coding Alert

Heads up: Coding under ICD-10 will depend on the level of detail providers note. When your family physician diagnoses mononucleosis, you have a single diagnosis choice under ICD-9: 075 (Infectious mononucleosis). The same code applies to glandular fever, monocytic angina, or Pfeiffer's disease. Once ICD-10 goes into effect in October 2014, your choices will be more detailed. Begin coding by determining the type of infection involved: B27.0 -- Gammaherpesviral mononucleosis B27.1 -- Cytomegaloviral mononucleosis B27.8 -- Other infectious mononucleosis B27.9 -- Infectious mononucleosis, unspecified. Next, you'll move to whether the patient is experiencing related complications or has another condition, such as polyneuropathy. The fifth-digit classifications for each code category will be: 0, without complication 1, with polyneuropathy 2, with meningitis 9, with other complication. Definition: Mononucleosis (commonly called "mono") is an infection caused by the Epstein-Barr virus. The virus is found in saliva and mucus and is passed through kissing or exposure to a [...]