K76.0 - Fatty (change of) liver, not elsewhere classified

Clinical Definition

Mononucleosis, also known as "mono" or Epstein-Barr virus (EBV) infection, is a viral illness characterized by fever, sore throat, fatigue, and lymphadenopathy. It primarily affects teenagers and young adults.

Documentation Requirements

• Confirm laboratory evidence of EBV infection:

  • Positive Monospot test OR

  • Positive EBV antibody test

• Document specific manifestations:

  • Presence of lymphadenopathy (location)

  • Presence/absence of splenomegaly

  • Pharyngitis details

  • Fever pattern/duration

• Indicate phase of illness:

  • Acute

  • Convalescent

  • Chronic

• Associated complications if present:

  • Hepatitis

  • Splenic rupture

  • Neurological complications

Common Synonyms

• "The kissing disease"

• Glandular fever

• EBV infection

• Pfeiffer's disease

Coding Conflicts

Excludes1:

• Cytomegalovirus mononucleosis (B27.10)

• Toxoplasma mononucleosis (B58.-)

Scribing.io Automation

The AI scribe automatically identifies key terms such as:

• "Monospot positive"

• "EBV+" or "EBV positive"

• Associated symptoms like "fatigue," "sore throat," "lymphadenopathy"

• Phase descriptors ("acute," "chronic")
  It then generates appropriate ICD-10 codes based on the documented manifestations and complications.