D86.2

HCC Category Mapping

What This Code Means

Sarcoidosis is a chronic inflammatory disease where abnormal tissue collections form in the lungs and lymph nodes. This code specifically indicates that a patient has sarcoidosis affecting both the lungs and the lymph nodes (glands) in the chest.

Coding Tips

• •Verify documentation clearly states involvement of both lungs AND lymph nodes; if only one site is affected, use a more specific code (D86.0 for lung only, D86.1 for lymph nodes only)
• •This code is for pulmonary sarcoidosis with hilar lymphadenopathy; do not use if sarcoidosis affects other organs without lung involvement

Clinical Significance

Sarcoidosis involving both the lungs and lymph nodes represents a more extensive disease burden than isolated pulmonary or nodal sarcoidosis. This combination pattern, often presenting as bilateral hilar lymphadenopathy with pulmonary infiltrates, is the most common radiographic presentation of sarcoidosis and carries implications for chronic respiratory compromise. The dual-organ involvement typically requires more aggressive monitoring and treatment strategies including systemic corticosteroids.

Documentation Requirements

• ✓Documentation must explicitly confirm granulomatous disease in both lung parenchyma AND lymph nodes, supported by imaging (chest CT showing hilar/mediastinal lymphadenopathy plus pulmonary infiltrates) or biopsy results.
• ✓The provider should document the staging (Scaden staging system), current disease activity, pulmonary function test results, and ongoing treatment.
• ✓If only one site is involved, a more specific code (D86.0 or D86.1) should be used instead.

Commonly Confused Codes