ICD-10 Coding for History of Sarcoidosis(Z86.69, Z87.89)
Complete ICD-10-CM coding and documentation guide for History of Sarcoidosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Sarcoidosis
Z86.69-Z87.89Primary Range
Personal history of other diseases of the respiratory system and other specified conditions
These codes are used for documenting a history of sarcoidosis when the condition is resolved and no longer active.
Sarcoidosis affecting various systems
These codes are used for active sarcoidosis affecting different organs.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.69 | Personal history of other diseases of the respiratory system | Use when sarcoidosis is resolved and no longer requires treatment. |
|
| Z87.89 | Personal history of other specified conditions | Use when sarcoidosis affecting non-respiratory systems is resolved. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of sarcoidosis
Essential facts and insights about History of Sarcoidosis
Primary ICD-10-CM Codes for history of sarcoidosis
Decision Criteria
clinical Criteria
- No active symptoms or treatment for sarcoidosis
documentation Criteria
- Clear statement of resolved sarcoidosis
Applicable To
- Resolved pulmonary sarcoidosis
Excludes
- Active sarcoidosis (D86.XX)
Clinical Validation Requirements
- Documented resolution of sarcoidosis
- No current symptoms or treatment
Code-Specific Risks
- Incorrectly coding active sarcoidosis as resolved
Coding Notes
- Ensure documentation clearly states the condition is resolved.
Z87.89 - Personal history of other specified conditions
Use when sarcoidosis affecting non-respiratory systems is resolved.
Applicable To
- Resolved sarcoidosis affecting non-respiratory systems
Excludes
- Active sarcoidosis (D86.XX)
Clinical Validation Requirements
- Documented resolution of sarcoidosis affecting non-respiratory systems
Coding Notes
Ensure documentation specifies the condition is resolved.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Sarcoidosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.69.
Impact
Clinical: Leads to inaccurate patient records., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing.
Mitigation Strategy
Verify resolution status, Include detailed documentation
Impact
Reimbursement: Incorrect coding can lead to improper reimbursement., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient health records.
Mitigation Strategy
Verify current clinical status and treatment history before coding.
Impact
Lack of documentation for resolved sarcoidosis.
Mitigation Strategy
Ensure thorough documentation of resolution.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Sarcoidosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Sarcoidosis
Use these documentation templates to ensure complete and accurate documentation for History of Sarcoidosis. These templates include all required elements for proper coding and billing.
Resolved pulmonary sarcoidosis
Specialty: PulmonologyRequired Elements
- Resolution date
- No current symptoms
- No ongoing treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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