ICD-10 Coding for Sarcoidosis(D86.0, D86.3, D86.81)
Complete ICD-10-CM coding and documentation guide for Sarcoidosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sarcoidosis
D86.0-D86.9Primary Range
Sarcoidosis
This range includes all codes related to sarcoidosis, specifying different organ involvements.
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 is confirmed in the lungs with appropriate clinical validation. |
|
| D86.3 | Sarcoidosis of skin | Use when sarcoidosis is confirmed in the skin with biopsy evidence. |
|
| D86.81 | Sarcoid meningitis | Use when sarcoidosis involves the meninges with clinical and imaging confirmation. |
|
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
Essential facts and insights about Sarcoidosis
Primary ICD-10-CM Codes for sarcoidosis
Decision Criteria
clinical Criteria
- Non-caseating granulomas on lung biopsy
documentation Criteria
- Exclusion of tuberculosis
Applicable To
- Pulmonary sarcoidosis
Excludes
- Tuberculosis of lung (A15.0)
Clinical Validation Requirements
- Histopathology report showing non-caseating granulomas
- Chest imaging showing bilateral hilar lymphadenopathy
Code-Specific Risks
- Risk of misclassification if TB is not excluded
Coding Notes
- Ensure TB is ruled out before using this code.
D86.3 - Sarcoidosis of skin
Use when sarcoidosis is confirmed in the skin with biopsy evidence.
Applicable To
- Cutaneous sarcoidosis
Excludes
- Lupus vulgaris (A18.4)
Clinical Validation Requirements
- Skin biopsy showing non-caseating granulomas
Coding Notes
Ensure specific site involvement is documented.
D86.81 - Sarcoid meningitis
Use when sarcoidosis involves the meninges with clinical and imaging confirmation.
Applicable To
- Neurosarcoidosis with meningitis
Excludes
- Meningitis due to other causes
Clinical Validation Requirements
- CSF analysis showing lymphocytic pleocytosis
- MRI showing meningeal enhancement
Coding Notes
Document specific neurological findings and imaging results.
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 Sarcoidosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D86.0.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always include TB test results, Ensure differential diagnosis is documented
Impact
Reimbursement: Lower reimbursement due to unspecified codes, Compliance: Increased audit risk, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Always specify the organ involved and use the corresponding specific code.
Impact
High audit risk when specific organ involvement is not documented
Mitigation Strategy
Ensure documentation specifies the organ involved and use the corresponding specific code.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sarcoidosis
Use these documentation templates to ensure complete and accurate documentation for Sarcoidosis. These templates include all required elements for proper coding and billing.
Pulmonary Sarcoidosis
Specialty: PulmonologyRequired Elements
- Biopsy results
- Imaging findings
- Exclusion of TB
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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