2024-09-03 - EBV

[mortality-forum]

Hello everyone,

I'd like to ask a question about ICD 10. Sorry, sorry, sorry!

To help with our transition to ICD11, we're improving our dictionary. And we have a problem with the EPSTEIN BARR virus. How is it coded in your system? B34.8 or B97.8?

If you have an EBV-induced lymphoma, do you code it as C83.7 only or C83.7 + B34.8 or C83.7+B97.8?

Thank you for your answers!

Have a good day on this side of the continent!

 Zina

[John G O'Connor]

Hi Zina,

 

I hope you are keeping well.

 

Orhanet suggests codes of

 

C83.3 for Epstein-Barr virus-positive diffuse large B-cell lymphoma (ICD-11: 2A81.6) https://www.orpha.net/en/disease/detail/289661

B27.0 for Chronic Epstein-Barr virus infection syndrome  https://www.orpha.net/en/disease/detail/2566?name=Epstein-Barr&mode=name

 

In coding our data, we use the following.

 

EPSTEIN BARR	B338
EPSTEIN BARR LYMPHOMA	C859¹	B978

 

¹ without further subtype information.

 

The ICD-11 mappings here may also prove informative https://icdcdn.who.int/static/releasefiles/2024-01/mapping.zip

 

I hope this helps.

 

 

Regards,

 

John G.O'Connor

Staitisticí Beatha

Vital Statistics

Project Manager for implementation of ICD-11

 

John.G....@cso.ie

0214535787

Central Statistics Office  |  Skehard Road, Cork, T12 X00E, Ireland  |  www.cso.ie

 

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[ali sadek]

Dear Zina, dear all respected members,

Good day

My suggestion is as follows:

1)        Infectious mononucleosis is caused by the Epstein-Barr virus (EBV), although a milder form is caused by the cytomegalovirus (CMV). Both EBV and CMV are members of the herpes virus family.

B97.8  (=Other viral agents as the cause of diseases classified to other chapters) is not a suitable code for EBV infection.

B34.8 (=Other viral infections of unspecified site) is  not a suitable code for EBV infection.

B27.0  (=Gammaherpesviral mononucleosis = Mononucleosis due to Epstein-Barr virus) is a specific code for EBV infection causing mononucleosis.

B27.9 (=Infectious mononucleosis, unspecified) is also a suitable code for EBV infection, although it is a residual code.

2)        Except for human immunodeficiency virus [HIV] disease, no infectious or parasitic disease will be accepted as causing a malignant neoplasm. So, EBV-induced lymphoma is coded as C83.7.

Thank you

Best Regards

Ali

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