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ICD-10 Guide
ICD-10 CodesD86.89

D86.89

Billable

Sarcoidosis of other sites

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

Code Description

ICD-10 D86.89 is a billable code used to indicate a diagnosis of sarcoidosis of other sites.

Key Diagnostic Point:

Sarcoidosis is a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs. While the lungs are the most commonly affected site, sarcoidosis can also involve other organs such as the skin, eyes, liver, spleen, and lymph nodes. The etiology of sarcoidosis remains unclear, but it is believed to involve an abnormal immune response to environmental triggers in genetically predisposed individuals. Patients may present with a variety of symptoms depending on the organs involved, including respiratory symptoms, skin lesions, and systemic manifestations such as fatigue and fever. In cases where sarcoidosis affects sites other than the lungs, it can lead to complications such as hypercalcemia, pulmonary hypertension, and organ dysfunction. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and histological confirmation through biopsy. The management of sarcoidosis may include observation, corticosteroids, and immunosuppressive therapy, depending on the severity and extent of the disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential organ involvement complicates diagnosis.
  • Differentiation from other granulomatous diseases is necessary.
  • Documentation must specify the site of sarcoidosis.
  • Potential for overlapping symptoms with other conditions.

Audit Risk Factors

  • Inadequate documentation of the specific site affected.
  • Failure to provide supporting clinical evidence for diagnosis.
  • Misclassification of sarcoidosis as another condition.
  • Lack of follow-up documentation for chronic cases.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed pulmonary function tests and imaging studies.

Common Clinical Scenarios

Patients presenting with respiratory symptoms and abnormal chest X-rays.

Billing Considerations

Ensure clear documentation of lung involvement versus other organ systems.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic symptoms and organ involvement.

Common Clinical Scenarios

Patients with joint pain and systemic symptoms suggestive of sarcoidosis.

Billing Considerations

Document any autoimmune conditions that may coexist.

Coding Guidelines

Inclusion Criteria

Use D86.89 When
  • According to ICD
  • 10 guidelines, D86
  • 89 should be used when sarcoidosis is confirmed in sites other than the lungs
  • Documentation must specify the affected organ and any related complications

Exclusion Criteria

Do NOT use D86.89 When
  • Exclusion criteria include conditions that mimic sarcoidosis but are not classified as such

Related ICD-10 Codes

Related CPT Codes

32556CPT Code

Thoracentesis

Clinical Scenario

Used for diagnostic purposes in patients with pleural effusion suspected to be due to sarcoidosis.

Documentation Requirements

Document indication for procedure and findings.

Specialty Considerations

Pulmonologists should ensure clear documentation of the need for thoracentesis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of the disease's impact on various organ systems and improving the accuracy of epidemiological data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of the disease's impact on various organ systems and improving the accuracy of epidemiological data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sarcoidosis, enabling better tracking of the disease's impact on various organ systems and improving the accuracy of epidemiological data.

Resources

Clinical References

  • •
    American Thoracic Society - Sarcoidosis

Coding & Billing References

  • •
    American Thoracic Society - Sarcoidosis

Frequently Asked Questions

What are the common symptoms of sarcoidosis?

Common symptoms include fatigue, shortness of breath, skin lesions, swollen lymph nodes, and joint pain. Symptoms can vary widely depending on the organs involved.

How is sarcoidosis diagnosed?

Diagnosis typically involves a combination of clinical evaluation, imaging studies (like chest X-rays or CT scans), and biopsy of affected tissues to confirm the presence of non-caseating granulomas.