2025 ICD-10-CM code D86.85
Sarcoid myocarditis is an inflammatory condition affecting the heart muscle, leading to non-necrotizing granuloma-like lesions and post-inflammatory scar tissue.
Medical necessity for procedures related to sarcoid myocarditis must be supported by documentation of the diagnosis and its impact on the patient's cardiac function. Diagnostic tests must be justified based on clinical suspicion and the need to confirm the diagnosis and assess the extent of cardiac involvement. Treatment must be supported by evidence of its effectiveness in managing the patient's symptoms and preventing complications.
Physicians diagnose sarcoid myocarditis based on patient history, symptoms, physical examination, and various diagnostic tests, including serum markers for sarcoidosis, imaging studies (CT, MRI, FDG-PET), ECG, echocardiography, and endomyocardial biopsy. Treatment involves corticosteroid therapy, immunosuppressive agents, pacemaker or defibrillator placement, and potentially heart transplant in severe cases.
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
- D86.8 Sarcoidosis of other sites
In simple words: Sarcoid myocarditis is a heart condition where small lumps of inflammatory cells form in the heart muscle. It can cause symptoms like fever, tiredness, and heart problems. Doctors diagnose it with tests like blood work, CT scans, and MRI scans. Treatments include medications, pacemakers, and sometimes a heart transplant.
Sarcoid myocarditis is an inflammatory condition of unknown etiology which affects the heart muscle, leading to formation of non–necrotizing granuloma–like lesions in the heart and forming post–inflammatory scar tissue.
Example 1: A 35-year-old patient presents with fatigue, shortness of breath, and irregular heartbeat. After a thorough examination and diagnostic testing, including an endomyocardial biopsy, the physician diagnoses sarcoid myocarditis., A patient with known pulmonary sarcoidosis develops chest pain and palpitations. An echocardiogram reveals granulomas in the heart muscle, confirming cardiac involvement and sarcoid myocarditis., An asymptomatic patient undergoing a routine chest x-ray shows evidence of enlarged lymph nodes. Further investigation with a CT scan and biopsy reveals sarcoid myocarditis despite the absence of cardiac symptoms.
Documentation should include detailed patient history, physical exam findings, results of laboratory tests (serum markers, ACE levels), imaging studies (CT, MRI, PET), ECG findings, echocardiogram results, and endomyocardial biopsy findings if performed. Treatment details, including medications, device placement, and transplant considerations should also be documented.
- Specialties:Cardiology, Pulmonology, Internal Medicine, Rheumatology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center