B27.01 ICD-10-CM Code: Gammaherpesviral mononucleosis with polyneuropathy
Compare with another code for B27.01Check this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Official instructions
- 3 inclusion terms
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
- Includesfrom B27What B27 covers
- glandular fever
- monocytic angina
- Pfeiffer's disease
Where it sits Source: CMS/NCHS
Under:Chapter 1: Certain Infectious and Parasitic DiseasesB25-B34 Other viral diseasesB27 Infectious mononucleosisB27.0 Gammaherpesviral mononucleosis
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 865 — VIRAL ILLNESS WITH MCC (MDC 18)
- MS-DRG 866 — VIRAL ILLNESS WITHOUT MCC (MDC 18)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B27.01 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on B27.01 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- glandular fever
- monocytic angina
- Pfeiffer's disease
Source: inherited from B27
Coder workflow for B27.01
MedCoder structured workflow — derived from this code’s own official record
Before you code B27.01
- B27.01’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).
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).
- The associated condition or complication
- Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Only one of the components this code’s title joins is documented.
Coding question: Is B27.01 supported?
Path: Review the code for the documented component on its own.
Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).
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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
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
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
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-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name B27.01 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) (via B27.-), G02 — Meningitis in other infectious and parasitic diseases classified elsewhere (via B27.-), G63 — Polyneuropathy in diseases classified elsewhere (via B27.-), J02.8 — Acute pharyngitis due to other specified organisms (via B27.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Excludes2 notes: B00 — Herpesviral [herpes simplex] infections (via B27.0.-), B10 — Other human herpesviruses (via B27.0.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 2 Code First instructions across 2 chapters: H67 — Otitis media in diseases classified elsewhere (via B27.-), K77 — Liver disorders in diseases classified elsewhere (via B27.-).
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.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 2 MS-DRGs: DRG 865 (MDC 18), DRG 866 (MDC 18).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INF008 — Viral infection (default); NVS015 — Polyneuropathies; NVS020 — Other nervous system disorders (neither hereditary nor degenerative).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Viral infection, Polyneuropathies, Other nervous system disorders (neither hereditary nor degenerative)).
A17.89 — Other tuberculosis of nervous system, A17.9 — Tuberculosis of nervous system, unspecified, A36.83 — Diphtheritic polyneuritis, A50.43 — Late congenital syphilitic polyneuropathy, A52.15 — Late syphilitic neuropathy, B02.23 — Postherpetic polyneuropathy, B26.84 — Mumps polyneuropathy, B27.11 — Cytomegaloviral mononucleosis with polyneuropathy, B27.81 — Other infectious mononucleosis with polyneuropathy, B27.91 — Infectious mononucleosis, unspecified with polyneuropathy, E08.40 — Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified, E08.42 — Diabetes mellitus due to underlying condition with diabetic polyneuropathy, E08.43 — Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy, E08.44 — Diabetes mellitus due to underlying condition with diabetic amyotrophy, E09.40 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified, E09.42 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy, E09.43 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy, E09.44 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy, E10.40 — Type 1 diabetes mellitus with diabetic neuropathy, unspecified, E10.42 — Type 1 diabetes mellitus with diabetic polyneuropathy, +460 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Gamma-glutamyl Transferase (GGT) Test, Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of B27.01 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 B27.01 with these 8 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-fy2027
- B25-B34 — Other viral diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- D72.821 — Monocytosis (symptomatic)[Excludes1](via B27.-): “infectious mononucleosis (B27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- G02 — Meningitis in other infectious and parasitic diseases classified elsewhere[Excludes1](via B27.-): “infectious mononucleosis complicated by meningitis (B27.- with fifth character 2)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- G63 — Polyneuropathy in diseases classified elsewhere[Excludes1](via B27.-): “infectious mononucleosis complicated by polyneuropathy (B27.0-B27.9 with fifth character 1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- J02.8 — Acute pharyngitis due to other specified organisms[Excludes1](via B27.-): “acute pharyngitis due to infectious mononucleosis (B27.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes
- B00 — Herpesviral [herpes simplex] infections[Excludes2](via B27.0.-): “gammaherpesviral mononucleosis (B27.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- B10 — Other human herpesviruses[Excludes2](via B27.0.-): “Epstein-Barr virus (B27.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Code First instructions
- H67 — Otitis media in diseases classified elsewhere[Code First](via B27.-): “viral disease NEC (B00-B34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- K77 — Liver disorders in diseases classified elsewhere[Code First](via B27.-): “infectious mononucleosis with liver disease (B27.0-B27.9 with fifth character 9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- INF008 — Viral infection[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- NVS015 — Polyneuropathies[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- NVS020 — Other nervous system disorders (neither hereditary nor degenerative)[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 865 — VIRAL ILLNESS WITH MCC[MS-DRG]: “VIRAL ILLNESS WITH MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 866 — VIRAL ILLNESS WITHOUT MCC[MS-DRG]: “VIRAL ILLNESS WITHOUT MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 18 — Infectious and Parasitic Diseases, Systemic or Unspecified Sites[MDC crossing]: “Infectious and Parasitic Diseases, Systemic or Unspecified Sites — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Mononucleosis, infectious, Epstein-Barr (virus), with, polyneuropathy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Mononucleosis, infectious, gammaherpesviral, with, polyneuropathy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (20)
- B27 — Infectious mononucleosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.0 — Gammaherpesviral mononucleosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.00 — Gammaherpesviral mononucleosis without complication[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.02 — Gammaherpesviral mononucleosis with meningitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.09 — Gammaherpesviral mononucleosis with other complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.1 — Cytomegaloviral mononucleosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.10 — Cytomegaloviral mononucleosis without complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B27.11 — Cytomegaloviral mononucleosis with polyneuropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- 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
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (2)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 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-derived 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 editorial 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.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
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. "B27.01 — Gammaherpesviral mononucleosis with polyneuropathy." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/b27.01-gammaherpesviral-mononucleosis-with-polyneuropathy
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionGammaherpesviral mononucleosis with polyneuropathy
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, 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 B27.01 in its code family, with their registry titles.
- B27 — Infectious mononucleosis
- B27.0 — Gammaherpesviral mononucleosis
- B27.00 — Gammaherpesviral mononucleosis without complication
- 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