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ICD-10 Guide
ICD-10 CodesD86.2

D86.2

Billable

Sarcoidosis of lung with sarcoidosis of lymph nodes

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

Code Description

ICD-10 D86.2 is a billable code used to indicate a diagnosis of sarcoidosis of lung with sarcoidosis of lymph nodes.

Key Diagnostic Point:

Sarcoidosis is a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs, most commonly the lungs and lymph nodes. In the case of D86.2, the condition specifically involves sarcoidosis affecting both the lung parenchyma and the lymph nodes, which may present with respiratory symptoms such as cough, dyspnea, and chest pain, alongside systemic symptoms like fatigue and weight loss. The diagnosis is often confirmed through imaging studies, such as chest X-rays or CT scans, which reveal bilateral hilar lymphadenopathy and pulmonary infiltrates. Bronchoscopy with biopsy may also be performed to obtain tissue samples for histological examination. The management of sarcoidosis may include observation, corticosteroids, or immunosuppressive therapy, depending on the severity of the disease and the presence of symptoms. The interplay between lung involvement and lymphadenopathy can complicate the clinical picture, necessitating careful monitoring and treatment adjustments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between pulmonary and extrapulmonary manifestations
  • Need for comprehensive documentation of symptoms and imaging findings
  • Potential overlap with other respiratory conditions
  • Variability in treatment approaches based on severity

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the extent of organ involvement
  • Misclassification of sarcoidosis type
  • Lack of follow-up documentation for ongoing treatment

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed clinical notes on respiratory symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with cough, dyspnea, and abnormal chest imaging.

Billing Considerations

Ensure clear documentation of lung function tests and response to therapy.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic symptoms and potential extrapulmonary manifestations.

Common Clinical Scenarios

Patients with joint pain or skin lesions alongside respiratory symptoms.

Billing Considerations

Document any autoimmune conditions that may coexist with sarcoidosis.

Coding Guidelines

Inclusion Criteria

Use D86.2 When
  • According to ICD
  • 10 guidelines, D86
  • 2 should be used when both lung and lymph node involvement is documented
  • Coders must ensure that the clinical documentation supports the diagnosis and that any relevant imaging or biopsy results are included

Exclusion Criteria

Do NOT use D86.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31628CPT Code

Bronchoscopy, rigid or flexible, including fluoroscopic guidance

Clinical Scenario

Used for obtaining biopsy samples in suspected sarcoidosis cases.

Documentation Requirements

Document indication for bronchoscopy and findings.

Specialty Considerations

Pulmonologists should ensure clear documentation of the procedure and its necessity.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of disease prevalence and treatment outcomes. D86.2 provides a clear distinction between different manifestations of the disease, improving the accuracy of clinical data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of disease prevalence and treatment outcomes. D86.2 provides a clear distinction between different manifestations of the disease, improving the accuracy of clinical data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of disease prevalence and treatment outcomes. D86.2 provides a clear distinction between different manifestations of the disease, improving the accuracy of clinical data.

Resources

Clinical References

  • •
    American Thoracic Society - Sarcoidosis

Coding & Billing References

  • •
    American Thoracic Society - Sarcoidosis

Frequently Asked Questions

What are the common symptoms of sarcoidosis?

Common symptoms include persistent cough, shortness of breath, chest pain, fatigue, and systemic symptoms like fever and weight loss.

How is sarcoidosis diagnosed?

Diagnosis is typically made through a combination of clinical evaluation, imaging studies, and biopsy to confirm the presence of non-caseating granulomas.