Sarcoid meningitis
ICD-10 D86.81 is a billable code used to indicate a diagnosis of sarcoid meningitis.
Sarcoid meningitis is a rare manifestation of sarcoidosis, a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs. In sarcoid meningitis, these granulomas infiltrate the meninges, leading to inflammation of the protective membranes covering the brain and spinal cord. Clinically, patients may present with symptoms such as headache, fever, neck stiffness, and neurological deficits. Diagnosis typically involves a combination of clinical evaluation, imaging studies (such as MRI), and cerebrospinal fluid (CSF) analysis, which may reveal elevated protein levels, lymphocytic pleocytosis, and the presence of non-caseating granulomas. Treatment often includes corticosteroids to reduce inflammation and manage symptoms. The condition can lead to complications such as increased intracranial pressure, seizures, and long-term neurological impairment if not adequately addressed. Understanding the nuances of sarcoid meningitis is crucial for accurate coding and management of this complex condition.
Detailed neurological examination findings, imaging results, and CSF analysis.
Patients presenting with neurological symptoms and a known history of sarcoidosis.
Ensure that all neurological deficits are documented and linked to the diagnosis of sarcoid meningitis.
History of sarcoidosis, pulmonary function tests, and imaging studies of the chest.
Patients with pulmonary sarcoidosis who develop neurological symptoms.
Document the relationship between pulmonary symptoms and neurological findings.
Used to obtain CSF for analysis in suspected sarcoid meningitis.
Document indication for lumbar puncture and CSF findings.
Neurology and infectious disease specialists should ensure thorough documentation of CSF results.
Common symptoms include headache, fever, neck stiffness, and neurological deficits such as confusion or seizures.
Diagnosis is made through clinical evaluation, imaging studies, and analysis of cerebrospinal fluid, which may show elevated protein and lymphocytes.
