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ICD-10 Coding for Neurosarcoidosis(D86.85)

Complete ICD-10-CM coding and documentation guide for Neurosarcoidosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CNS SarcoidosisNeurosarcoid

Related ICD-10 Code Ranges

Complete code families applicable to Neurosarcoidosis

D86.0-D86.9Primary Range

Sarcoidosis

This range includes all sarcoidosis-related conditions, with D86.85 specifically for neurosarcoidosis.

Key Information: ICD-10 code for neurosarcoidosis

Essential facts and insights about Neurosarcoidosis

The ICD-10 code for neurosarcoidosis is D86.85, used for confirmed cases with neurological involvement.

Primary ICD-10-CM Code for neurosarcoidosis

Neurosarcoidosis
Billable Code

Decision Criteria

clinical Criteria

  • Presence of neurological symptoms with biopsy confirmation

coding Criteria

  • Primary code for encounters focused on neurological symptoms

documentation Criteria

  • Detailed MRI and CSF findings

Applicable To

  • Confirmed neurosarcoidosis with neurological involvement

Excludes

  • Sarcoidosis of other sites without neurological involvement

Clinical Validation Requirements

  • MRI showing leptomeningeal enhancement
  • Biopsy-proven granulomas
  • CSF analysis with elevated ACE levels

Code-Specific Risks

  • Misclassification if not confirmed by biopsy or imaging
  • Incorrect sequencing with systemic sarcoidosis

Coding Notes

  • Ensure documentation includes specific neurological findings and confirmatory tests.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Polyneuropathy in diseases classified elsewhere

G63
Use when polyneuropathy is present as a comorbidity.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Sarcoidosis of other sites

D86.89
Use D86.89 when neurological involvement is suspected but not confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Neurosarcoidosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D86.85.

Impact

Clinical: Leads to misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Ensure biopsy results are included in all relevant documentation, Regular audits of patient records

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on neurosarcoidosis prevalence.

Mitigation Strategy

Ensure biopsy or imaging confirms neurological involvement before coding D86.85.

Impact

High risk of audit if D86.85 is used without supporting documentation.

Mitigation Strategy

Ensure all documentation criteria are met before coding.

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 Neurosarcoidosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Neurosarcoidosis

Use these documentation templates to ensure complete and accurate documentation for Neurosarcoidosis. These templates include all required elements for proper coding and billing.

Neurology Progress Note

Specialty: Neurology

Required Elements

  • Subjective symptoms
  • Objective findings
  • Assessment
  • Plan

Example Documentation

Patient presents with bilateral facial weakness. MRI shows leptomeningeal enhancement. CSF ACE elevated. Plan to initiate infliximab.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient with sarcoidosis presents with headache.
Good Documentation Example
55F with biopsy-confirmed pulmonary sarcoidosis now with MRI showing triventricular hydrocephalus and CSF ACE 15 U/L.
Explanation
The good example provides specific diagnostic findings and test results.

Need help with ICD-10 coding for Neurosarcoidosis? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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