D86.0

Billable

Sarcoidosis of lung

HCC Category Mapping

V24HCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders

0.268

ESRDHCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders

0.000

RxHCCHCC 227 — Sarcoidosis, Pulmonary Alveolar Disorders

0.000

What This Code Means

Sarcoidosis is an inflammatory disease where abnormal tissue collections form in the lungs, causing breathing problems and chest discomfort.

Coding Tips

•Specify the stage of pulmonary sarcoidosis if documented (0-IV)
•Code any associated respiratory complications separately (e.g., pulmonary fibrosis)

Clinical Significance

Sarcoidosis of lung is a chronic granulomatous disease of unknown etiology characterized by non-caseating granulomas in the pulmonary parenchyma and hilar lymph nodes. It most commonly affects young adults, with higher prevalence in African Americans and Northern Europeans, and can range from asymptomatic bilateral hilar lymphadenopathy to progressive pulmonary fibrosis with respiratory failure.

Documentation Requirements

✓Documentation must include radiographic staging (stage 0-IV based on chest imaging), pulmonary function test results, histological confirmation of non-caseating granulomas when available, symptom severity, and current treatment including corticosteroids or steroidsparing agents if prescribed.
✓Specify whether the disease is active, stable, or progressive, and document any pulmonary complications such as pulmonary hypertension or fibrosis.

Commonly Confused Codes

D86.1 (sarcoidosis of lymph nodes which may coexist with but is distinct from pulmonary parenchymal disease), D86.2 (sarcoidosis of lung with sarcoidosis of lymph nodes when both are present), J84.10 (pulmonary fibrosis, unspecified, which may be a sequela of sarcoidosis), D86.9 (sarcoidosis, unspecified, when the organ involvement is not documented).

Code Hierarchy

└D86Sarcoidosis └D86.0Sarcoidosis of lung

└D86.0Sarcoidosis of lung