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ICD-10 Guide
ICD-10 CodesD86.86

D86.86

Billable

Sarcoid arthropathy

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

Code Description

ICD-10 D86.86 is a billable code used to indicate a diagnosis of sarcoid arthropathy.

Key Diagnostic Point:

Sarcoid arthropathy is a manifestation of sarcoidosis, a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs. In sarcoid arthropathy, patients experience joint pain and swelling, which can mimic other forms of arthritis. The condition is often associated with other systemic symptoms of sarcoidosis, such as fatigue, fever, and respiratory issues. The arthropathy can present as either an acute or chronic condition, with acute forms often involving the ankles and knees, while chronic forms may affect multiple joints and lead to significant disability. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and sometimes biopsy to confirm the presence of granulomas. Treatment may include corticosteroids and other immunosuppressive agents to manage inflammation and alleviate symptoms. Understanding the nuances of sarcoid arthropathy is crucial for accurate coding and appropriate management of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Overlap with other arthritic conditions
  • Need for comprehensive clinical documentation
  • Variability in presentation and severity
  • Potential for misdiagnosis with other systemic diseases

Audit Risk Factors

  • Inadequate documentation of systemic symptoms
  • Failure to document prior treatments or responses
  • Misclassification of the type of arthropathy
  • Lack of imaging or biopsy results in the medical record

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed history of joint symptoms, physical examination findings, and results from imaging studies.

Common Clinical Scenarios

Patients presenting with joint pain and swelling, particularly in the context of known sarcoidosis.

Billing Considerations

Documentation should clearly differentiate between sarcoid arthropathy and other forms of arthritis.

Pulmonology

Documentation Requirements

Comprehensive assessment of respiratory symptoms and correlation with joint symptoms.

Common Clinical Scenarios

Patients with sarcoidosis presenting with both pulmonary and joint manifestations.

Billing Considerations

Coordination with rheumatology for comprehensive care and accurate coding.

Coding Guidelines

Inclusion Criteria

Use D86.86 When
  • According to ICD
  • 10 guidelines, D86
  • 86 should be used when sarcoid arthropathy is specifically diagnosed
  • It is important to document the presence of sarcoidosis and any related systemic symptoms

Exclusion Criteria

Do NOT use D86.86 When
  • Exclusion criteria include conditions that do not involve granulomatous inflammation

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with sarcoid arthropathy.

Documentation Requirements

Detailed history and examination of joint symptoms and systemic involvement.

Specialty Considerations

Rheumatology and pulmonology may both be involved in care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sarcoid arthropathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of the condition's prevalence and management outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoid arthropathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of the condition's prevalence and management outcomes.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of the condition's prevalence and management outcomes.

Resources

Clinical References

  • •
    American College of Rheumatology Guidelines

Coding & Billing References

  • •
    American College of Rheumatology Guidelines

Frequently Asked Questions

What is the primary treatment for sarcoid arthropathy?

The primary treatment for sarcoid arthropathy typically involves corticosteroids to reduce inflammation and manage symptoms. Other immunosuppressive agents may be considered based on the severity and response to treatment.