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v1.0.0
ICD-10 Guide
ICD-10 CodesD86.0

D86.0

Billable

Sarcoidosis of lung

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

Code Description

ICD-10 D86.0 is a billable code used to indicate a diagnosis of sarcoidosis of lung.

Key Diagnostic Point:

Sarcoidosis of the lung is a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs, predominantly the lungs. The etiology remains unclear, but it is believed to involve an exaggerated immune response to environmental antigens in genetically predisposed individuals. Clinically, patients may present with respiratory symptoms such as cough, dyspnea, and chest pain, alongside systemic manifestations like fatigue, fever, and weight loss. Diagnosis typically involves imaging studies, such as chest X-rays or CT scans, which may reveal bilateral hilar lymphadenopathy or pulmonary infiltrates. Definitive diagnosis often requires histological confirmation through bronchoscopy or lung biopsy. The disease can lead to complications such as pulmonary fibrosis, respiratory failure, and increased risk of lung infections. Management may include corticosteroids and immunosuppressive agents, particularly in cases with significant pulmonary involvement or extrapulmonary manifestations. Regular monitoring of lung function and imaging is essential to assess disease progression and treatment response.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of sarcoidosis.
  • Need for histological confirmation for accurate diagnosis.
  • Differentiation from other granulomatous diseases.
  • Potential for coexisting conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to provide histological evidence of granulomas.
  • Misclassification of sarcoidosis severity.
  • Lack of follow-up documentation on treatment response.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with unexplained cough, dyspnea, or abnormal chest X-ray findings.

Billing Considerations

Ensure clear documentation of the extent of lung involvement and any associated complications.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic symptoms and organ involvement.

Common Clinical Scenarios

Patients with sarcoidosis presenting with joint pain or skin lesions.

Billing Considerations

Document any extrapulmonary manifestations and their management.

Coding Guidelines

Inclusion Criteria

Use D86.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any complications
  • Include specific details about the extent of lung involvement and any associated conditions

Exclusion Criteria

Do NOT use D86.0 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 lung biopsy in suspected sarcoidosis cases.

Documentation Requirements

Document indication for bronchoscopy and findings.

Specialty Considerations

Pulmonologists should ensure clear documentation of the procedure and results.

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 emphasizes the need for detailed documentation of the condition and its complications.

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 emphasizes the need for detailed documentation of the condition and its complications.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation of the condition and its complications.

Resources

Clinical References

  • •
    American Thoracic Society - Sarcoidosis

Coding & Billing References

  • •
    American Thoracic Society - Sarcoidosis

Frequently Asked Questions

What is the primary treatment for sarcoidosis of the lung?

The primary treatment for sarcoidosis of the lung is corticosteroids, which help reduce inflammation and granuloma formation. In cases of severe or persistent symptoms, immunosuppressive agents may also be used.