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Pulmonology Coding Alert

ICD-10:

D86.9: Use Manual As Guide For More Efficient Coding

Published on Fri Jun 17, 2011

What diagnosis can you list as secondary to sarcoidosis?Sarcoidosis -- cause unknown -- is a disease that results from a type of inflammation of tissues. Often, it starts in the lungs or lymph nodes, but can appear in almost any bodyorgan. When a pulmonologist diagnoses a patient with this condition, you would code ICD-9 135 (Sarcoidosis).When ICD-9 transitions to ICD-10 on October 1, 2013, the code changes to D86.9 (Sarcoidosis, unspecified). The new code will pertain to the same descriptor as its ICD-9 counterpart, except for the addition of the word "unspecified."ICD difference: You will observe the same function for the new ICD-10 code as its ICD-9 counterpart to specify a diagnosis.Coder tips: When coding for sarcoidosis with cardiomyopathy, you will note in your ICD-10 index that the code for 'sarcoidosis, cardiac' is D86.9, with I43 (Cardiomyopathy in diseases classified elsewhere) listed in italics. The italics may be there simply to catch [...]
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