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v1.0.0
ICD-10 Guide
ICD-10 CodesD86.8

D86.8

Billable

Sarcoidosis of other sites

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

Code Description

ICD-10 D86.8 is a billable code used to indicate a diagnosis of sarcoidosis of other sites.

Key Diagnostic Point:

Sarcoidosis is a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs. While the lungs are the most commonly affected site, sarcoidosis can also involve other organs such as the skin, eyes, liver, spleen, and lymph nodes. The etiology of sarcoidosis remains unclear, but it is believed to involve an abnormal immune response to environmental triggers in genetically predisposed individuals. Symptoms can vary widely depending on the organs involved, and may include fatigue, weight loss, fever, and localized symptoms related to the affected organ. In cases where sarcoidosis affects blood and blood-forming organs, hematologic manifestations may include anemia, leukopenia, or thrombocytopenia due to bone marrow involvement or hypersplenism. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and histological confirmation through biopsy. Treatment may include corticosteroids and immunosuppressive agents, particularly in cases with significant organ involvement or symptomatic disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential organ involvement complicating diagnosis.
  • Need for comprehensive documentation to support the diagnosis.
  • Differentiation from other granulomatous diseases.
  • Potential for overlapping symptoms with other conditions.

Audit Risk Factors

  • Insufficient documentation of organ involvement.
  • Failure to differentiate from other granulomatous diseases.
  • Inconsistent coding of symptoms versus confirmed diagnosis.
  • Lack of follow-up documentation for ongoing treatment.

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 abnormal chest imaging.

Billing Considerations

Ensure clear documentation of lung involvement and any additional organ systems affected.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic symptoms and organ involvement.

Common Clinical Scenarios

Patients with joint pain and systemic symptoms suggestive of sarcoidosis.

Billing Considerations

Document any autoimmune markers and their relevance to sarcoidosis.

Coding Guidelines

Inclusion Criteria

Use D86.8 When
  • According to ICD
  • 10 guidelines, D86
  • 8 should be used when sarcoidosis is confirmed in sites other than the lungs or lymph nodes
  • Coders must ensure that the diagnosis is supported by appropriate clinical documentation, including imaging and biopsy results

Exclusion Criteria

Do NOT use D86.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

32556CPT Code

Thoracentesis

Clinical Scenario

Used for diagnostic purposes in patients with pleural effusion suspected to be related to sarcoidosis.

Documentation Requirements

Document indication for procedure and findings.

Specialty Considerations

Pulmonology should ensure clear linkage between the procedure and the diagnosis.

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 the disease's impact on various organ systems. This specificity aids in research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of the disease's impact on various organ systems. This specificity aids in research and treatment planning.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    American Thoracic Society - Sarcoidosis

Coding & Billing References

  • •
    American Thoracic Society - Sarcoidosis

Frequently Asked Questions

What is the primary documentation needed for coding D86.8?

Coders should ensure that there is clear documentation of the specific organ involvement, clinical symptoms, and any diagnostic imaging or biopsy results that confirm the diagnosis of sarcoidosis.