B27 ICD-10-CM Code: Infectious mononucleosis
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 3 inclusion terms
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B27 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- glandular fever
- monocytic angina
- Pfeiffer's disease
Coder workflow for B27
MedCoder structured workflow — derived from this code’s own official record
Before you code B27
- B27 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewB27.0, B27.1, B27.8, B27.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath B27?
Yes → Select that code and continue the checks below on its own page.
No → B27 cannot be reported as written; query for the specificity its subcategory needs.
Consider B27. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name B27 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 4 Excludes1 notes across 3 chapters: D72.821 — Monocytosis (symptomatic), G02 — Meningitis in other infectious and parasitic diseases classified elsewhere, G63 — Polyneuropathy in diseases classified elsewhere, J02.8 — Acute pharyngitis due to other specified organisms.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Code First instructions across 2 chapters: H67 — Otitis media in diseases classified elsewhere, K77 — Liver disorders in diseases classified elsewhere.
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Contextual Map
Every relationship of B27 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run B27 with these 6 related codes in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B25-B34 — Other viral diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- D72.821 — Monocytosis (symptomatic)[Excludes1]: “infectious mononucleosis (B27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G02 — Meningitis in other infectious and parasitic diseases classified elsewhere[Excludes1]: “infectious mononucleosis complicated by meningitis (B27.- with fifth character 2)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G63 — Polyneuropathy in diseases classified elsewhere[Excludes1]: “infectious mononucleosis complicated by polyneuropathy (B27.0-B27.9 with fifth character 1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J02.8 — Acute pharyngitis due to other specified organisms[Excludes1]: “acute pharyngitis due to infectious mononucleosis (B27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- H67 — Otitis media in diseases classified elsewhere[Code First]: “viral disease NEC (B00-B34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- K77 — Liver disorders in diseases classified elsewhere[Code First]: “infectious mononucleosis with liver disease (B27.0-B27.9 with fifth character 9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (20)
- B27.0 — Gammaherpesviral mononucleosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.00 — Gammaherpesviral mononucleosis without complication[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.01 — Gammaherpesviral mononucleosis with polyneuropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.02 — Gammaherpesviral mononucleosis with meningitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.09 — Gammaherpesviral mononucleosis with other complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.1 — Cytomegaloviral mononucleosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.10 — Cytomegaloviral mononucleosis without complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B27.11 — Cytomegaloviral mononucleosis with polyneuropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 12 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can B27 be billed directly?
No. B27 (Infectious mononucleosis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "B27 — Infectious mononucleosis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/b27-infectious-mononucleosis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionInfectious mononucleosis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to B27 in its code family, with their registry titles.
- B27.0 — Gammaherpesviral mononucleosis
- B27.00 — Gammaherpesviral mononucleosis without complication
- B27.01 — Gammaherpesviral mononucleosis with polyneuropathy
- B27.02 — Gammaherpesviral mononucleosis with meningitis
- B27.09 — Gammaherpesviral mononucleosis with other complications
- B27.1 — Cytomegaloviral mononucleosis
- B27.10 — Cytomegaloviral mononucleosis without complications
- B27.11 — Cytomegaloviral mononucleosis with polyneuropathy
- B27.12 — Cytomegaloviral mononucleosis with meningitis
- B27.19 — Cytomegaloviral mononucleosis with other complication
- B27.8 — Other infectious mononucleosis
- B27.80 — Other infectious mononucleosis without complication
- B27.81 — Other infectious mononucleosis with polyneuropathy
- B27.82 — Other infectious mononucleosis with meningitis
- B27.89 — Other infectious mononucleosis with other complication
- B27.9 — Infectious mononucleosis, unspecified
- B27.90 — Infectious mononucleosis, unspecified without complication
- B27.91 — Infectious mononucleosis, unspecified with polyneuropathy
- B27.92 — Infectious mononucleosis, unspecified with meningitis
- B27.99 — Infectious mononucleosis, unspecified with other complication