ICD-10 Coding for Pulmonary Sarcoidosis(D86.0, D86.2)
Complete ICD-10-CM coding and documentation guide for Pulmonary Sarcoidosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pulmonary Sarcoidosis
D86.0-D86.9Primary Range
Sarcoidosis
This range includes all sarcoidosis codes, with D86.0 specifically for pulmonary involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D86.0 | Sarcoidosis of lung | Use when sarcoidosis is confirmed in the lungs without lymph node involvement. |
|
| D86.2 | Sarcoidosis of lung with sarcoidosis of lymph nodes | Use when both lung and lymph node involvement are confirmed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for pulmonary sarcoidosis
Essential facts and insights about Pulmonary Sarcoidosis
Primary ICD-10-CM Codes for pulmonary sarcoidosis
Decision Criteria
clinical Criteria
- Presence of non-caseating granulomas in lung biopsy
documentation Criteria
- CT scan showing bilateral hilar lymphadenopathy
Applicable To
- Isolated pulmonary sarcoidosis
Excludes
- Sarcoidosis with lymph node involvement (D86.2)
Clinical Validation Requirements
- Non-caseating granulomas on lung biopsy
- Bilateral hilar lymphadenopathy on CT
- Restrictive pattern on PFTs
Code-Specific Risks
- Misuse without biopsy confirmation
- Incorrect use for unspecified sarcoidosis
Coding Notes
- Ensure biopsy or imaging confirms diagnosis before coding.
D86.2 - Sarcoidosis of lung with sarcoidosis of lymph nodes
Use when both lung and lymph node involvement are confirmed.
Applicable To
- Pulmonary and lymph node sarcoidosis
Excludes
- Isolated pulmonary sarcoidosis (D86.0)
Clinical Validation Requirements
- Mediastinal/hilar lymphadenopathy with parenchymal lung nodules
- EBUS-confirmed granulomas in both sites
Coding Notes
Ensure both lung and lymph node involvement are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pulmonary hypertension due to lung disease
I27.21Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pulmonary Sarcoidosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D86.0.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure imaging and biopsy results are thoroughly documented., Review documentation for completeness.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation in health records.
Mitigation Strategy
Use D86.9 for unspecified sarcoidosis cases.
Impact
Claims without biopsy confirmation are at risk for audit.
Mitigation Strategy
Ensure all claims include biopsy documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Pulmonary Sarcoidosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pulmonary Sarcoidosis
Use these documentation templates to ensure complete and accurate documentation for Pulmonary Sarcoidosis. These templates include all required elements for proper coding and billing.
Pulmonary Sarcoidosis Diagnosis
Specialty: PulmonologyRequired Elements
- Biopsy results
- Imaging findings
- PFT results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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