D86.85
D86.85: Sarcoid myocarditis
Billable / specific codeICD-10-CM
D86.85 is a billable, specific ICD-10-CM code for sarcoid myocarditis. It is valid for submission on a claim.
Check D86.85 with the rest of the claim: free scrubberOther codes that can never be billed with D86.85
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D86.85 is named in 24 Medicare coverage policies: 24 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52423Billing and Coding: Infliximab and biosimilars
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Alphabetic index entries that lead here
- Sarcoid›myocarditis
- Cardiomyopathy›in›sarcoidosis
- Myocarditis›in›sarcoidosis
Code history
Unchanged in every release from FY2024 to FY2027.