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ICD-10 Guide
ICD-10 CodesD86.87

D86.87

Billable

Sarcoid myositis

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

Code Description

ICD-10 D86.87 is a billable code used to indicate a diagnosis of sarcoid myositis.

Key Diagnostic Point:

Sarcoid myositis is a rare inflammatory condition characterized by the presence of granulomatous inflammation in the muscle tissue, associated with sarcoidosis. Sarcoidosis is a systemic disease that can affect multiple organs, including the lungs, skin, and lymph nodes, but when it involves the muscles, it leads to myositis. Patients may present with muscle weakness, pain, and swelling, often accompanied by systemic symptoms such as fatigue, fever, and weight loss. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and biopsy of affected muscle tissue, which reveals non-caseating granulomas. Treatment may include corticosteroids and immunosuppressive agents to manage inflammation and improve muscle function. The condition can lead to complications such as muscle atrophy and functional impairment, necessitating a multidisciplinary approach for optimal management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of sarcoidosis and its systemic implications.
  • Differentiation from other forms of myositis can be challenging.
  • Documentation must clearly indicate the relationship between sarcoidosis and myositis.
  • Potential for overlapping symptoms with other hematologic conditions.

Audit Risk Factors

  • Inadequate documentation linking sarcoidosis to myositis.
  • Failure to document the severity of muscle involvement.
  • Misclassification of myositis type.
  • Lack of biopsy results in the medical record.

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed clinical notes on muscle symptoms, systemic involvement, and treatment response.

Common Clinical Scenarios

Patients presenting with unexplained muscle weakness and systemic symptoms.

Billing Considerations

Ensure clear documentation of sarcoidosis diagnosis and its relation to myositis.

Neurology

Documentation Requirements

Neurological assessments and muscle strength evaluations.

Common Clinical Scenarios

Patients with neuromuscular complaints and a known history of sarcoidosis.

Billing Considerations

Document neurological findings to differentiate from other neuromuscular disorders.

Coding Guidelines

Inclusion Criteria

Use D86.87 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant lab results or imaging studies that confirm the diagnosis

Exclusion Criteria

Do NOT use D86.87 When
  • Exclude conditions that do not meet the criteria for sarcoid myositis

Related ICD-10 Codes

Related CPT Codes

73030CPT Code

MRI of the Musculoskeletal System

Clinical Scenario

Used to evaluate muscle involvement in patients with sarcoid myositis.

Documentation Requirements

Document the reason for MRI and findings related to muscle inflammation.

Specialty Considerations

Rheumatologists and neurologists should collaborate on imaging findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sarcoid myositis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the condition's prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoid myositis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the condition's prevalence and treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the condition's prevalence and treatment outcomes.

Resources

Clinical References

  • •
    American College of Rheumatology

Coding & Billing References

  • •
    American College of Rheumatology

Frequently Asked Questions

What is the primary treatment for sarcoid myositis?

The primary treatment for sarcoid myositis typically involves corticosteroids to reduce inflammation, along with immunosuppressive agents if necessary.