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v1.0.0
ICD-10 Guide
ICD-10 CodesD86.3

D86.3

Billable

Sarcoidosis of skin

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

Code Description

ICD-10 D86.3 is a billable code used to indicate a diagnosis of sarcoidosis of skin.

Key Diagnostic Point:

Sarcoidosis of the skin is a granulomatous disease characterized by the formation of non-caseating granulomas in the skin. It is a manifestation of systemic sarcoidosis, which can affect multiple organs, including the lungs, lymph nodes, and eyes. The skin lesions associated with sarcoidosis can present in various forms, including erythema nodosum, plaques, and lupus pernio. These lesions may be asymptomatic or cause discomfort, and they can vary in size and appearance. Diagnosis typically involves a combination of clinical evaluation, skin biopsy, and imaging studies to rule out other conditions. The etiology of sarcoidosis remains unclear, but it is believed to involve an abnormal immune response to environmental triggers in genetically predisposed individuals. Treatment may include corticosteroids and other immunosuppressive agents, depending on the severity and extent of the disease. Monitoring for potential complications, such as skin infections or scarring, is essential in managing patients with sarcoidosis of the skin.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of skin lesions
  • Need for differential diagnosis with other skin conditions
  • Potential for systemic involvement requiring additional coding
  • Documentation of biopsy results and clinical findings

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document biopsy results
  • Misclassification of skin lesions
  • Lack of evidence for systemic involvement

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of skin lesions, biopsy results, and treatment plans.

Common Clinical Scenarios

Patients presenting with skin lesions suspected to be sarcoidosis, requiring biopsy for confirmation.

Billing Considerations

Ensure clear documentation of lesion characteristics and systemic symptoms.

Pulmonology

Documentation Requirements

Documentation of respiratory symptoms and imaging studies to assess for pulmonary involvement.

Common Clinical Scenarios

Patients with known sarcoidosis presenting with respiratory complaints.

Billing Considerations

Coordination with dermatology for comprehensive management of systemic sarcoidosis.

Coding Guidelines

Inclusion Criteria

Use D86.3 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, including any biopsy results and systemic involvement

Exclusion Criteria

Do NOT use D86.3 When
  • Exclude conditions that may mimic sarcoidosis

Related ICD-10 Codes

Related CPT Codes

11100CPT Code

Biopsy of skin, first lesion

Clinical Scenario

When a skin biopsy is performed to confirm sarcoidosis.

Documentation Requirements

Document the location, size, and characteristics of the lesion.

Specialty Considerations

Dermatologists should ensure proper coding for biopsy procedures.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, including skin involvement, which aids in better tracking and management of the disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, including skin involvement, which aids in better tracking and management of the disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, including skin involvement, which aids in better tracking and management of the disease.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What documentation is needed to support the use of D86.3?

Documentation should include clinical findings, biopsy results, and any systemic symptoms related to sarcoidosis.