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ICD-10 Guide
ICD-10 CodesD86.1

D86.1

Billable

Sarcoidosis of lymph nodes

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D86.1 is a billable code used to indicate a diagnosis of sarcoidosis of lymph nodes.

Key Diagnostic Point:

Sarcoidosis of lymph nodes is a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs, with lymph nodes being one of the most commonly affected sites. The etiology of sarcoidosis remains largely unknown, but it is believed to involve an abnormal immune response to environmental triggers in genetically predisposed individuals. Clinically, patients may present with lymphadenopathy, often asymptomatic, but can also experience symptoms such as cough, dyspnea, and chest pain if pulmonary involvement occurs. Diagnosis typically involves imaging studies, such as chest X-rays or CT scans, and may be confirmed through biopsy of affected lymph nodes. The condition can lead to complications, including pulmonary fibrosis and respiratory failure, particularly if left untreated. Management often includes corticosteroids to reduce inflammation and control symptoms, although many patients may experience spontaneous remission. Understanding the nuances of sarcoidosis, particularly in the context of lymph node involvement, is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive diagnostic documentation
  • Potential for misdiagnosis with other granulomatous diseases
  • Differentiation from other lymphadenopathy causes

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to document biopsy results or imaging studies
  • Misclassification of sarcoidosis as another condition
  • Lack of follow-up documentation on treatment response

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed pulmonary function tests, imaging studies, and biopsy results.

Common Clinical Scenarios

Patients presenting with respiratory symptoms and lymphadenopathy.

Billing Considerations

Ensure clear documentation of pulmonary involvement and any treatment plans.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic symptoms and organ involvement.

Common Clinical Scenarios

Patients with joint pain and systemic symptoms alongside lymphadenopathy.

Billing Considerations

Document any autoimmune symptoms that may complicate the diagnosis.

Coding Guidelines

Inclusion Criteria

Use D86.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including any relevant imaging or biopsy results

Exclusion Criteria

Do NOT use D86.1 When
  • Exclude conditions that may mimic sarcoidosis unless clearly documented

Related ICD-10 Codes

Related CPT Codes

32556CPT Code

Thoracentesis, needle drainage of pleural effusion

Clinical Scenario

Used when a patient with sarcoidosis presents with pleural effusion.

Documentation Requirements

Document the indication for the procedure and any imaging guidance used.

Specialty Considerations

Pulmonologists should ensure clear documentation of the patient's history and current symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of disease prevalence and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of disease prevalence and outcomes.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of disease prevalence and outcomes.

Resources

Clinical References

  • •
    American Thoracic Society - Sarcoidosis

Coding & Billing References

  • •
    American Thoracic Society - Sarcoidosis

Frequently Asked Questions

What are the common symptoms of sarcoidosis of lymph nodes?

Common symptoms include swollen lymph nodes, cough, shortness of breath, and fatigue. Some patients may be asymptomatic.