D86.87
D86.87: Sarcoid myositis
Billable / specific codeICD-10-CM
D86.87 is a billable, specific ICD-10-CM code for sarcoid myositis. It is valid for submission on a claim.
Check D86.87 with the rest of the claim: free scrubberOther codes that can never be billed with D86.87
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
D86.87 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D86.87 is named in 20 Medicare coverage policies: 20 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›myositis
- Myopathy›in›sarcoidosis
- Myositis›in›sarcoidosis
Code history
Unchanged in every release from FY2024 to FY2027.