ICD-10 Coding for Sarcoidosis of Lung(D86.0, D86.2)
Complete ICD-10-CM coding and documentation guide for Sarcoidosis of Lung. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sarcoidosis of Lung
D86.0-D86.9Primary Range
Sarcoidosis
This range includes codes for sarcoidosis affecting various organs, with D86.0 and D86.2 specifically for lung involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D86.0 | Sarcoidosis of lung | Use when sarcoidosis affects only the lungs without lymph node involvement. |
|
| D86.2 | Sarcoidosis of lung with lymph node involvement | Use when both lung and lymph node involvement are documented. |
|
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 sarcoidosis of lung
Essential facts and insights about Sarcoidosis of Lung
Primary ICD-10-CM Codes for sarcoidosis of lung
Decision Criteria
clinical Criteria
- Presence of non-caseating granulomas and lung involvement without lymph nodes.
Applicable To
- Isolated pulmonary sarcoidosis
Excludes
- Sarcoidosis with lymph node involvement (D86.2)
Clinical Validation Requirements
- Non-caseating granulomas on lung biopsy
- Bilateral hilar lymphadenopathy on CT
- CD4/CD8 ratio >3.5 in BAL fluid
Code-Specific Risks
- Risk of undercoding if lymph node involvement is not documented.
Coding Notes
- Ensure documentation specifies lung involvement without lymph nodes.
D86.2 - Sarcoidosis of lung with lymph node involvement
Use when both lung and lymph node involvement are documented.
Applicable To
- Pulmonary sarcoidosis with hilar lymphadenopathy
Excludes
- Isolated pulmonary sarcoidosis (D86.0)
Clinical Validation Requirements
- CT showing bilateral hilar lymphadenopathy
- Biopsy confirming non-caseating granulomas
Coding Notes
Ensure documentation specifies both lung and lymph node involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sarcoidosis of Lung to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D86.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increased risk of audits and penalties., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific language in documentation., Ensure all relevant findings are included.
Impact
Reimbursement: Potential for reduced reimbursement due to unspecified coding., Compliance: Increased audit risk for unspecified codes., Data Quality: Decreased data accuracy for clinical research.
Mitigation Strategy
Ensure documentation specifies organ involvement to use D86.0 or D86.2.
Impact
Using D86.9 when specific codes are applicable.
Mitigation Strategy
Educate providers on documentation requirements for specific 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 Sarcoidosis of Lung, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sarcoidosis of Lung
Use these documentation templates to ensure complete and accurate documentation for Sarcoidosis of Lung. These templates include all required elements for proper coding and billing.
Pulmonary sarcoidosis with lymph node involvement
Specialty: PulmonologyRequired Elements
- CT findings
- Biopsy results
- PFT results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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